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Wall Street Journal Writes about Federal Investigation of Health Diagnostic Laboratory and Certain Specialty Medical Lab Test Companies
Did “processing fees” paid by certain clinical laboratory companies to physicians represent an inducement that violated federal anti-kickback laws? Once again, allegations of fraudulent practices at a fast-growing clinical laboratory company have made national headlines. This time it was a front-page story in The Wall Street Journal (WSJ) that last week discussed the controversy surrounding Health […] (Source: Dark Daily)
Source: Dark Daily - September 15, 2014 Category: Laboratory Medicine Authors: jude Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Laboratory News Laboratory Operations Laboratory Pathology anti-kickback violations Anu Saad clinical laboratory Department of Justice DOJ federal investigation HDL Source Type: news

Understanding Today’s Trends in Healthcare and the Clinical Laboratory and Pathology Testing Marketplace
Recent White Papers detail solutions for implementing new payment strategies for medical laboratories and pathology groups Clinical diagnostic laboratories, pathology groups and healthcare institutions are carrying significant and potentially unsustainable levels of unreimbursed services. Although bad debt and uncompensated care in the healthcare industry are not new, they have been increasing at the same time […] (Source: Dark Daily)
Source: Dark Daily - September 13, 2014 Category: Laboratory Medicine Authors: Barbara Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Digital Pathology Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Managed Care Contracts & Payer Reimbursement Management & Source Type: news

Hospitals Receive a Reprieve from CMS Recovery Audits
In a new ruling, CMS agrees to partially pay pending hospital claims in exchange for withdrawal of claims appeals. (Source: Physicians Practice)
Source: Physicians Practice - September 12, 2014 Category: Practice Management Authors: Rachel V. Rose, JD, MBA Tags: Blog Law & Malpractice Audits Medical Billing Collections Physician Compensation Source Type: news

Despite multiple malpractice payouts, doctors often keep practicing
CBS News investigates effectiveness of state medical boards at stopping dangerous physicians (Source: Health News: CBSNews.com)
Source: Health News: CBSNews.com - September 12, 2014 Category: Consumer Health News Source Type: news

More Media Reports of Health Insurers’ Reluctance to Reimburse for Genetic Tests, Thus Angering Many Patients and Causing Medical Laboratories to Go Unpaid
Pathologists should take note that an increasing number of patients who want genetic tests are complaining when they learn their insurance plan will not pay for such tests Concerned about the increased cost of genetic tests, health insurers are becoming reluctant to pay for many types of molecular diagnostics and gene tests. When refusing to […] (Source: Dark Daily)
Source: Dark Daily - September 12, 2014 Category: Laboratory Medicine Authors: jude Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Digital Pathology Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Management & Operations AHIP America’s Health Insuran Source Type: news

FDA’s Unique Device Identifier Program for In Vitro Diagnostic Devices Used by Clinical Laboratories Set to Begin September 24
Donor screening assays and in vitro diagnostic tests, including laboratory-developed tests, are now classified as IVDs and require a UDI label Later this month, a new Food and Drug Administration (FDA) rule will take effect that requires unique device identifiers (UDIs) on most medical devices. This will include analyzers, instruments, and automated systems used by […] (Source: Dark Daily)
Source: Dark Daily - September 10, 2014 Category: Laboratory Medicine Authors: jude Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Management & Operations and in vitro diagnostic test ARUP Laboratories ce Source Type: news

$2 million grant funds study on the effects of malpractice risk, incentives on cardiac testing
(George Washington University) Steven Farmer, M.D., Ph.D., associate professor of medicine and health policy at the George Washington University School of Medicine and Health Sciences, received a two million dollar grant from the National Institutes of Health to study the effect of malpractice risk and financial incentives on cardiac testing, which will inform ongoing state malpractice reforms and federal payment reform. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - September 10, 2014 Category: Global & Universal Source Type: news

Nation’s Clinical Laboratories and Pathology Groups Face Greatest Pressure to Cut Costs and Deliver More Value Than at Any Other Time in Past 25 Years
Blame it on shrinking hospital budgets and reduced lab testing prices; successful labs are using Lean, Six Sigma, and process improvement to reduce expenses and boost quality Topic number one at clinical laboratories and anatomic pathology groups across the nation is cost-cutting, for two reasons. First, it is budget time at hospitals and labs are […] (Source: Dark Daily)
Source: Dark Daily - September 8, 2014 Category: Laboratory Medicine Authors: jude Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Instruments & Equipment Laboratory Hiring & Human Resources Laboratory Instruments & Laboratory Equipment Laboratory Management and Operations Laboratory News Laboratory Ope Source Type: news

Termination of Network Provider Contracts
If you have been terminated by a provider, or notified you will be terminated, here's what you should know to know your recourse as a medical practice. (Source: Physicians Practice)
Source: Physicians Practice - September 7, 2014 Category: Practice Management Authors: Martin Merritt Tags: Blog Law & Malpractice Contracts Payers Physician Compensation Source Type: news

HIPAA and Mental Health: Answers to Top Doc Questions
There are not always clear answers under HIPAA, particularly when it comes to mental health issues. Here is some guidance. (Source: Physicians Practice)
Source: Physicians Practice - September 3, 2014 Category: Practice Management Authors: Ericka L. Adler Tags: Blog HIPAA Law & Malpractice Patient Relations Source Type: news

FDA Pushes Forward with Plans to Regulate Laboratory-Developed Tests, in a Move that Will Impact Many Clinical Laboratory Companies and Pathology Groups
It was national news when the FDA sent notice to Congress on July 31 that it planned to issue draft guidance on regulation of LDTs After sitting in a state of suspended animation for several years, the Food & Drug Administration’s (FDA) plans to regulate laboratory-developed tests are now front and center. On July 31, […] (Source: Dark Daily)
Source: Dark Daily - September 3, 2014 Category: Laboratory Medicine Authors: jude Tags: Compliance, Legal, and Malpractice Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology and Why You Should Prepare Now” clinical laboratory Dark Daily FDA Food & Drug Administration in vitro Source Type: news

Military Medicine: Smaller Military Hospitals Said to Put Patients at Risk
Many of the hospitals run by the armed forces are so small and the trickle of patients so thin that doctors and nurses say their ability to properly treat serious illnesses is compromised. (Source: NYT Health)
Source: NYT Health - September 2, 2014 Category: Consumer Health News Authors: By SHARON LaFRANIERE and ANDREW W. LEHREN Tags: Womack Army Medical Center United States Defense and Military Forces Malpractice Afghanistan War (2001- ) Iraq War (2003-11) Health Insurance and Managed Care Veterans Hospitals Reed, Walter, National Military Medical Center Landrieu, Ma Source Type: news

Military Medicine: Smaller Military Hospitals Said to Put Patients at Risk
Many of the hospitals run by the armed forces are so small and the trickle of patients so thin that doctors and nurses say their ability to properly treat serious illnesses is compromised. (Source: NYT)
Source: NYT - September 2, 2014 Category: American Health Authors: By SHARON LaFRANIERE and ANDREW W. LEHREN Tags: Womack Army Medical Center United States Defense and Military Forces Malpractice Afghanistan War (2001- ) Iraq War (2003-11) Health Insurance and Managed Care Veterans Hospitals Reed, Walter, National Military Medical Center Landrieu, Ma Source Type: news

The Current Malpractice Insurance Market: Coverage Red Flags for Docs
From inadequate cyber insurance to poor RAC audit coverage, many physicians are purchasing policies that could result in big losses down the line. (Source: Physicians Practice)
Source: Physicians Practice - August 31, 2014 Category: Practice Management Authors: Jeffrey D. Brunken Tags: Blog Finance Law & Malpractice Risk Management Personal Finance Source Type: news

Understanding 'Commercial Reasonableness'
Here's what the requirement to be "commercially reasonable" means under the Stark Law and Anti-kickback Statute and what physicians need to know. (Source: Physicians Practice)
Source: Physicians Practice - August 31, 2014 Category: Practice Management Authors: Martin Merritt Tags: Blog Law & Malpractice Contracts Operations Source Type: news

Practice-Hospital Lease Agreements: 15 Key Provisions
Leasing your medical practice to a hospital? You may want to consider these 15 contract provisions to ensure your practice is protected for the future. (Source: Physicians Practice)
Source: Physicians Practice - August 30, 2014 Category: Practice Management Authors: Dennis J. Alessi Tags: Blog Employment Law & Malpractice Contracts RVU Performance Physician Productivity Physician Compensation Source Type: news

Dozens of doctors accused of serious malpractice 'retire early to avoid disciplinary hearings' 
Conservative MP Stephen Barclay, pictured, has said he has obtained figures showing 39 doctors have removed themselves from the GMC register rather than face a disciplinary hearing. (Source: the Mail online | Health)
Source: the Mail online | Health - August 30, 2014 Category: Consumer Health News Source Type: news

Avoid Audits: Make Sure Your Medical Billing Practices Are Above Board
In light of continuing Medicare fraud, it is vital to review your coding and billing procedures. Prevention is key to avoiding expensive take-backs. (Source: Physicians Practice)
Source: Physicians Practice - August 28, 2014 Category: Practice Management Authors: Rachel V. Rose, JD, MBA Tags: Blog Law & Malpractice Audits Risk Management Source Type: news

The Medical Malpractice Trap for Physicians
Here are five things that physicians can do to mitigate the risk of not only frivolous suits, but legitimate ones. (Source: Physicians Practice)
Source: Physicians Practice - August 28, 2014 Category: Practice Management Authors: James Doulgeris Tags: Blog Healthcare Careers Law & Malpractice Operations Patient Relations Source Type: news

8 Malpractice Dangers in Your EHR 8 Malpractice Dangers in Your EHR
Many doctors use their electronic health records in ways that could potentially make the EHR evidence in a malpractice lawsuit, and strengthen the case against them. Here's how to be careful. Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 26, 2014 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

Classifying 'Independent Contractors' in Your Medical Practice
Misclassifying an employee as an independent contractor has serious ramifications for medical practices. Make sure you know the distinction. (Source: Physicians Practice)
Source: Physicians Practice - August 26, 2014 Category: Practice Management Authors: Ike Devji, JD Tags: Blog Managers Administrators Law & Malpractice Staff Source Type: news

Higher Enrollment in Medicare Advantage Plans Means that More Local Clinical Laboratories and Pathology Groups Lose Access to these Patients
Health insurers offering Medicare Advantage plans are narrowing their networks and favoring the national clinical lab companies over local medical labs and pathology groups Enrollment in Medicare Advantage health plans is booming. This development is not auspicious for local medical laboratories, hospital lab outreach programs, and anatomic pathology groups because the private health insurers operating […] (Source: Dark Daily)
Source: Dark Daily - August 25, 2014 Category: Laboratory Medicine Authors: jude Tags: Compliance, Legal, and Malpractice Laboratory Hiring & Human Resources Laboratory Management and Operations Laboratory News Laboratory Pathology Aetna. patient-centered care America’s Health Insurance Plans Avalere Health Care Cigna Ca Source Type: news

Understanding Physician Co-Management Arrangements
In the new value-based reimbursement environment, co-management arrangements can align the interests of physicians and hospitals. Here's what you need to know. (Source: Physicians Practice)
Source: Physicians Practice - August 24, 2014 Category: Practice Management Authors: Martin Merritt Tags: Blog Employment Law & Malpractice Contracts Operations Physician Compensation Source Type: news

India reviews state hospitals to end widespread corruption
NEW DELHI (Reuters) - The Indian government on Saturday ordered a review of activities at all state-owned hospitals to end what the health minister called systemic corruption, as part of the new administration's crackdown on malpractice in the healthcare sector. (Source: Reuters: Health)
Source: Reuters: Health - August 23, 2014 Category: Consumer Health News Tags: healthNews Source Type: news

Under Proposal, CME Speakers No Longer Exempt from Sunshine Act
CMS is proposing to withdraw the Sunshine Act exemption for payments made to healthcare providers who serve as speakers for accredited CME programs. (Source: Physicians Practice)
Source: Physicians Practice - August 20, 2014 Category: Practice Management Authors: Ericka L. Adler Tags: Blog Finance Healthcare Careers Law & Malpractice Personal Finance Source Type: news

Six Phrases to Avoid When Talking with Patients
The chief patient safety officer at medical malpractice insurer The Doctors Company identifies six common communication missteps physicians make. (Source: Physicians Practice)
Source: Physicians Practice - August 20, 2014 Category: Practice Management Authors: Aubrey Westgate Tags: Healthcare Careers Law & Malpractice Training Patient Relations Source Type: news

2014 Great American Physician Survey Results
Get unique insight into the personal and professional lives of physicians through the results of the 2014 Great American Physician Survey, Sponsored by Kareo. (Source: Physicians Practice)
Source: Physicians Practice - August 20, 2014 Category: Practice Management Tags: Great American Physician Survey Healthcare Careers Law & Malpractice Healthcare Reform Work/Life Balance Operations Patients Performance Practice Models Personal Finance Source Type: news

2014’s Healthcare Price Transparency Report Card Reveals Few States Are Making It Easy and Fast for Consumers to See the Prices Charged by Hospitals, Physicians, and Medical Laboratories
One reason is that the healthcare price websites operated by most states are inadequate, ‘poorly designed or poorly functioning’ Efforts to encourage price transparency at hospitals and other providers are making little progress. That’s one conclusion to be made from the second annual Report Card on State Price Transparency Laws, that gave a failing grade […] (Source: Dark Daily)
Source: Dark Daily - August 20, 2014 Category: Laboratory Medicine Authors: jude Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Laboratory Pathology Managed Care Contracts & Payer Reimbursement aetna all-payer claims databases APCDs Catalyst for Payment Reform clinical laboratory CPR Francois d Source Type: news

Independent Contractors a Serious Asset Protection Issue for Doctors
Physicians face a wide variety of exposures beyond medical malpractice claims including both labor and tax claims for misclassified contractors. (Source: Physicians Practice)
Source: Physicians Practice - August 19, 2014 Category: Practice Management Authors: Ike Devji, JD Tags: Blog Managers Administrators Law & Malpractice Audits Source Type: news

Medical Office Leasing Basics
Understanding the principles of leasing medical office space will enable practices to negotiate a lower-cost and equitable leasing agreement. (Source: Physicians Practice)
Source: Physicians Practice - August 18, 2014 Category: Practice Management Authors: Erica Sprey Tags: Managers Administrators Law & Malpractice Operations Overhead Source Type: news

Apologize-and-Pay Laws Don't Keep Docs Out of Data BankApologize-and-Pay Laws Don't Keep Docs Out of Data Bank
HHS ruled that payments to injured patients under state laws removing medical malpractice from the courts still must be reported to what many physicians consider their professional Hall of Shame. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 18, 2014 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

The Sunshine Act: How to Report, Dispute Physician Payments
Not only is it important that physicians report payments via the Sunshine Act, but also verify they match the amount the gift-giver is also reporting to CMS. (Source: Physicians Practice)
Source: Physicians Practice - August 17, 2014 Category: Practice Management Authors: Martin Merritt Tags: Blog News Law & Malpractice Healthcare Reform Physician Compensation Source Type: news

Physician Sunshine Act Reviews Need to Be Done Soon
The deadline for reviewing records and reporting compliance with the Sunshine Act is Aug. 27. There are several tools to make that task easier for physicians. (Source: Physicians Practice)
Source: Physicians Practice - August 14, 2014 Category: Practice Management Authors: Rachel V. Rose, JD, MBA Tags: Blog Law & Malpractice Mobile Physician Compensation Source Type: news

Exit Strategies for Doctors: Common Legal Mistakes to Avoid
Many doctors are working on selling their practices. Here are four common legal areas that could pose problems. (Source: Physicians Practice)
Source: Physicians Practice - August 12, 2014 Category: Practice Management Authors: Ike Devji, JD Tags: Blog Law & Malpractice Risk Management Personal Finance Source Type: news

Recent Study Estimates that 5% of Patients in Outpatient Settings Are Misdiagnosed, Offering Pathologists an Opportunity to Provide More Consultations to Doctors
This spring, researchers at the VA Hospital in Houston published a study revealing that one in 20 patients in outpatient settings are misdiagnosed Publication of new peer-reviewed clinical studies indicates that, within the United States, more than 5% of outpatients—or 12 million people—are misdiagnosed annually. Few pathologists and clinical laboratory scientists would dispute this number because every […] (Source: Dark Daily)
Source: Dark Daily - August 11, 2014 Category: Laboratory Medicine Authors: Barbara Tags: Compliance, Legal, and Malpractice Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Management & Operations agency for healthcare research and quality AHRQ Center for Innovations in Quality Source Type: news

CMS Seeks to Repeal Sunshine Act Exemption for CME
An attempt by CMS to repeal a Sunshine Act exemption for payments made to speakers at accredited CME events has physician associations hopping mad. (Source: Physicians Practice)
Source: Physicians Practice - August 10, 2014 Category: Practice Management Authors: Martin Merritt Tags: Blog Finance Healthcare Careers Law & Malpractice Personal Finance Source Type: news

Avoiding Negative Dysphagia OutcomesAvoiding Negative Dysphagia Outcomes
Find out about the important role nurses play in avoiding negative dysphagia-management outcomes and potential malpractice lawsuits. OJIN: The Online Journal of Issues in Nursing (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 7, 2014 Category: Consumer Health News Tags: Nursing Journal Article Source Type: news

HIPAA Business Associates and Civil Monetary Penalties
Anyone involved with protected health information at your medical practice can be the one who gets you fined for a HIPAA violation. So due diligence is a must. (Source: Physicians Practice)
Source: Physicians Practice - August 7, 2014 Category: Practice Management Authors: Rachel V. Rose, JD, MBA Tags: Blog Health IT HIPAA Law & Malpractice Risk Management Source Type: news

States Could Soon Require Random Drug, Alcohol Tests for Docs
The use of drugs and alcohol by physicians is a well-known public health risk, but is California's proposal to randomly drug and alcohol test physicians the answer? (Source: Physicians Practice)
Source: Physicians Practice - August 6, 2014 Category: Practice Management Authors: Ericka L. Adler Tags: Blog Healthcare Careers Law & Malpractice Source Type: news

Congress Delays Implementation of ICD-10 for another Year to Placate Physicians; Delay Could Cost Healthcare Industry Up to $6.6 Billion
Physicians oppose transition to ICD-10 altogether after a new AMA study reveals costs for implementation are triple the original estimates By now, most clinical laboratory managers and pathologists  know that the date for implementing ICD-10 was pushed back by one year. This happened when Congress enacted a temporary fix to the Medicare Sustainable Growth Rate (SGR) […] (Source: Dark Daily)
Source: Dark Daily - August 6, 2014 Category: Laboratory Medicine Authors: Barbara Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Source Type: news

Medical Student Debt Exposure Extends to Family Members
Becoming a guarantor for medical student loans can place undue strains upon family income and assets. Develop a plan first, before committing to help a loved one. (Source: Physicians Practice)
Source: Physicians Practice - August 5, 2014 Category: Practice Management Authors: Ike Devji, JD Tags: Blog Law & Malpractice Risk Management Personal Finance Source Type: news

CLMA Is Launching New Program to Help Clinical Laboratories Develop Patient-Centric Services and Deliver More Value to ACOs and Medical Homes
To help medical laboratories understand how to deliver patient-centric lab testing services, the Clinical Laboratory Management Association (CLMA) has launched its “Increasing Clinical Effectiveness” (ICE) program. CLMA President Paul Epner (pictured above) will be conducting a free webinar about the ICE program on August 12 and the details of ICE and the webinar can be […] (Source: Dark Daily)
Source: Dark Daily - August 4, 2014 Category: Laboratory Medicine Authors: Barbara Tags: Compliance, Legal, and Malpractice Laboratory Hiring & Human Resources Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Management & Operations Accountable Care Organizations ACOs clinical l Source Type: news

Medical Practices See No New Patient Increase, Despite ACA
More than 8 million patients have signed up for insurance due to the ACA, according to HHS, but where are all of them? (Source: Physicians Practice)
Source: Physicians Practice - August 4, 2014 Category: Practice Management Authors: Aubrey Westgate Tags: Blog Law & Malpractice Healthcare Reform Patient Relations Referrals Source Type: news

California Asks: Should Doctors Face Drug Tests?
A battle over a proposal, packed away in a broader initiative meant to raise the financial cap on medical malpractice awards, is being closely watched across the country. (Source: NYT Health)
Source: NYT Health - August 2, 2014 Category: Consumer Health News Authors: By ADAM NAGOURNEY Tags: Referendums Doctors Malpractice Drugs (Pharmaceuticals) Drug Abuse and Traffic Levinson, Daniel R Consumer Watchdog Alcohol Abuse Tests and Examinations Health and Human Services Department Brown, Edmund G Jr California Source Type: news

California Asks: Should Doctors Face Drug Tests?
A battle over a proposal, packed away in a broader initiative meant to raise the financial cap on medical malpractice awards, is being closely watched across the country. (Source: NYT)
Source: NYT - August 2, 2014 Category: American Health Authors: By ADAM NAGOURNEY Tags: Referendums Doctors Malpractice Drugs (Pharmaceuticals) Drug Abuse and Traffic Levinson, Daniel R Consumer Watchdog Alcohol Abuse Tests and Examinations Health and Human Services Department Brown, Edmund G Jr California Source Type: news

Clinical Chemists and Medical Laboratory Scientists Gather in Chicago for American Association of Clinical Chemistry and ASCLS Joint Meeting
Among the hundreds of lab industry vendors exhibiting, there were more companies showing LIS and lab informatics products this year than last year CHICAGO, ILLINOIS—Anytime 20,000 clinical chemists and medical laboratory scientists gather in the same place, at the same time, there is sure to be many different opinions about the state of laboratory medicine and […] (Source: Dark Daily)
Source: Dark Daily - August 1, 2014 Category: Laboratory Medicine Authors: Barbara Tags: Compliance, Legal, and Malpractice Digital Pathology Laboratory Management and Operations Laboratory News Laboratory Operations Laboratory Pathology Management & Operations AACC american association of clinical chemistry American Society Source Type: news

Factors Physicians Should Consider When Participating in ACOs
Physicians have a multitude of options when structuring ACOs. Make sure you understand all the legal requirements before committing your practice. (Source: Physicians Practice)
Source: Physicians Practice - July 31, 2014 Category: Practice Management Authors: Rachel V. Rose, JD, MBA Tags: Blog Law & Malpractice ACO Payers Source Type: news

Malpractice Insurance
. Health Careers. (Source: About.com Health Careers)
Source: About.com Health Careers - July 31, 2014 Category: Universities & Medical Training Authors: healthcareers.guide at about.com Tags: careers Source Type: news

Morning Break: How To Win A Malpractice Suit
(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff. (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - July 30, 2014 Category: American Health Source Type: news

Is the New 'Assistant Physician' Role Good for the Healthcare System?
It's no secret that the United States is facing a serious physician shortage. But how far should we go to ensure adequate access to patient care? (Source: Physicians Practice)
Source: Physicians Practice - July 30, 2014 Category: Practice Management Tags: Blog Healthcare Careers Law & Malpractice Staff Patient Relations Source Type: news