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  • Has Your Customer Service Kept Up?

    When we discuss all the changes that laboratories have to deal with—from technical and regulatory to evolving views of healthcare delivery and service expectations—we must include how these affect customer service. Customer service is involved in every phase of the laboratory operation; it is the face of the laboratory and, thus, reflects ...
    Posted to CRI Lab Quality Advisor (Weblog) on April 11, 2016
  • Theranos Under Regulatory Microscope

    Theranos has been in the news and has garnered both bouquets and brickbats because of its proprietary technology as well as its business model. This company started by wunderkind Elizabeth Holmes and valued in the billions uses small samples of blood (often from a fingerstick) and runs tests on its own proprietary instrument. The value ...
  • Are You Ready for ICD-10?

    Come October 1st, 2015 Medicare will only accept claims (with a date of service on or after October 1, 2015) if they have a valid ICD-10 code. Is your lab ready to meet that directive?   Clinical laboratories are required to submit accurate and complete diagnosis codes in electronic and paper claims to third party payers. ...
  • New Direct Patient Access Law Ups the Ante

    An ongoing debate within the medical laboratory science profession for several years now has been the idea of  patients having direct access to the laboratory. A new law recently passed in Arizona allows patients to order their own laboratory tests legally. This law goes the farthest, that I am aware of, in terms of explicitly ...
  • Laboratory Inspectors: Using Peers Versus Employees of the Agency

      I  was speaking to a group of laboratorians including a pathologist, and the conversation turned to laboratory inspections. At first everyone was on the same page: inspections are a necessary evil in the sense that it is important to have some neutral measure of quality, but the inspections could be very stressful. ...
  • What Do Doctors Want from the Laboratory- Part 2?

    In the last blog we discussed a CDC survey addressing the difficulties many providers face in ordering and interpreting laboratory tests. The providers admit to having significant challenges in both ordering tests and interpreting laboratory test results. They routinely seek help from various sources, with the laboratory ...
  • Sunshine Act on Cloudy Finances

    The implementation of the Affordable Care Act, or ObamaCare, has already seen several new laws and regulatory measures introduced since its implementation, with many more soon to be on the horizon. One of these is the Sunshine Act, a law requiring public disclosure of any financial agreements between healthcare vendors and providers. Recent ...
    Posted to ADVANCE Discourse: Lab (Weblog) on January 29, 2014
  • Is this Quality or Just Habit?

      The Director of Nursing hotly defended her staff. They had in fact performed quality control on the point of care glucose meters per policy. They had dated and initialed the appropriate line on the sheet. What was the lab complaining about? What did the state inspector mean by citing them?   Let me back up and ...
  • CMS Reconsiders Reimbursement Cap

    Across the country, laboratories and laboratory professionals have been bracing themselves for substantial cuts to Medicare reimbursements planned to move forward in the coming year. According to a press release from ASCP, the proposed cuts would have limited reimbursements for some laboratory tests by up to 80 percent, reducing total revenue ...
    Posted to ADVANCE Discourse: Lab (Weblog) on December 19, 2013
  • A Trip Down Memory Lane

    There’s a scene in the 60s-era AMC series “Mad Men” that involves a pregnant woman smoking and drinking while her friend’s child runs around with a dry cleaning bag over her head. All of this happens in the space of about a minute, and there are so many things done wrong during that time that, by today’s standards, you can’t help but wonder ...
    Posted to ADVANCE Discourse: Lab (Weblog) on May 10, 2013
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