PAMA has already made a significant impact for hospital and independent labs, and continues to do so with the redefinition of an applicable lab. PAMA has expanded the number of reporting labs to include smaller labs and hospital outreach labs. CMS estimates at least 43% more labs are now required to report under the new definition. Therefore, labs not reporting during the first period need to [...]
Primary Care Physicians often feel they’re running out of gas. The value they provide is real: research shows significantly better healthcare access and experience for patients receiving primary care. However, office visits to primary care physicians (PCPs) declined 18% from 2012 to 2016[i], suggesting that the value of PCP care is not widely acknowledged. Meanwhile, physicians experience [...]
Patients’ financial liability in paying for healthcare services is almost unrecognizable from that prior to the early 2000s; yet many organizations, including clinical laboratories, have struggled to modernize their collection practices in turn. As a result of this mismatch, labs risk not just losing out on uncollected revenue, but also wasting time and resources on futile or minimally [...]
We’ve come to the end of another calendar—each year the ride seems to go faster! With the holidays upon us, we can count on portrayals of the Ghosts of Christmas Past, Present, and Future. It’s inevitable, too, at this time of year that the voices of our industry look to where we’ve been, where we are, and where we’re going in healthcare.
Part 2: Audit Requirements
To assist private companies in understanding what the auditors will request and review, we have identified some of the relevant auditing standard requirements below.