29 December 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsHouse and Senate Announce Surprise Billing Agreement
On December 11, 2020, the House and Senate committee announced a bipartisan agreement on surprise medical billing that will establish a fair framework to resolve payment disputes between health care providers and health insurance companies. Rest of article

10 November 2020: Industry News Updates

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Roche Diagnostics USATweetorial Tuesday

Check out Tweets on VENTANA pan-TRK (EPR17341) Assay by #RocheDiagnosticsUSA at #NTRK on their #TweetorialTuesday. Click the link to check out the tweets with images of cases stained with pan-TRK IHC and multiple-choice questions! Follow @RocheDiaUSA on twitter.
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6 November 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsCMS Expands Accelerated and Advance Payment (AAP) Program

The Centers for Medicare & Medicaid (CMS) announced it would alter the Accelerated and Advance Payment (AAP) program’s repayment terms. The new repayment updates are as follows: Delay disbursement recoupments to one year from the date the payment was issued. After that first year, Medicare will automatically recoup 25 percent of Medicare payments otherwise owed to the provider or supplier for eleven months.
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13 October 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsProvider Relief Fund Report Requirements Update
The U.S. Department of Health and Human Services (HHS) released additional information outlining reporting requirements for health care providers who received and accepted funding exceeding $10,000 from the Provider Relief Fund. The essential guidelines are summarized in this article: Rest of article

27 August 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsProposed Rule – 2021 Medicare Physician Fee Schedule
On August 3rd, the Centers for Medicare and Medicaid Services (CMS) published the 2021 Medicare Physician Fee Schedule, which includes CMS only allowing a comment period of 30 days for the draft (instead of the normal 60 day period). Rest of article

30 July 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsFAQs Medicare fee-for-service billing
CMS released an updated COVID-19 FAQ on Medicare fee-for-service billing for COVID-19 related services. The policies in the article are effective for the duration of the PHE unless superseded by future legislation. With 41 sections and over 200 questions and answers, we highlighted key information. Rest of article

20 July 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsPathology Billing Tipsheet: 4 Ways to Reduce Billing Errors and Increase Revenue
Pathology billing and coding have complex regulations and rules, and there are many steps involved. Mistakes can occur at many points in “front-end” and “back-end” processes and can reduce collections by five percent or more, costing a typical practice or department hundreds of thousands of dollars, and frequently more. Mistakes also increase days in A/R, delay reimbursement and lead to compliance violations or fines. Rest of article

9 June 2020: Industry News Updates

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Change Healthcare7 Ways to Help Create a Sustainable Competitive Advantage
Today’s healthcare providers are facing increasing revenue pressure from declining reimbursement, fixed costs, and growing patient responsibility. Labs are no exception. Maintaining existing business while growing new referral sources is essential to long-term viability. It is also important for supporting investments into new technology and systems that will help labs stay competitive. And competition is increasingly a factor as lab groups nationwide are targeting one another’s clients as part of their own growth strategies. Rest of article

20 May 2020: Industry News Updates

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Change HealthcareHow Business Intelligence Delivers Financial Insight to Outreach Labs
Hospital-based ‘outreach’ laboratories are under increasing financial pressure due to escalating costs, falling reimbursements, and growing competition. As a result, there’s little margin for error when it comes to financial management.Enter business intelligence (BI) tools, which can help analyze the past,interpret the present, and forecast the future, including identifying and addressing vulnerabilities before profitability is affected. Rest of article

1 April 2020: Industry News Updates

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AdvantEdge Healthcare SolutionsUnitedHealthcare Requiring Hospital Outreach Labs to Contract as Independent Reference Labs
Effective May 1, 2020, UnitedHealthcare (UHC) will deny any non-patient lab test claims submitted by hospital outreach labs if billed under the hospital’s facility participation agreement. Rest of article