Is My Lab Required to Report PAMA Data?
Originally put into effect in 2017, the Protecting Access to Medicare Act (PAMA) requires many labs to report private payer data for clinical diagnostic lab tests to CMS every three years. The data is used to determine median payments in an effort to bring the...
Opinion: Is healthcare set to face a pandemic bubble?
The following is a column from Mick Raich, former President of RCM Consulting for Lighthouse Lab Services. In 2020 and early 2021, more than $4 trillion was pumped directly into society, including funding for healthcare providers and facilities. While most Americans...
The Difference Between EKRA and Anti-Kickback Statute
While the legal intent of the Eliminating Kickbacks in Recovery Act (EKRA) overlaps in several areas with existing Anti-Kickback Statute (AKS), EKRA is separate offense with some substantial distinctions that serve to make the law more stringent for laboratories than...