[Histonet] 88305TC starting to hit the fan...

2012-11-16 Thread H E *

The news about the decrease of the 88305TC medicaire reimbursement fee was just 
announced at my lab finally.   This of course struck fear in the entire lab 
workforce because it's clear some major belt-tightening will have to be done, 
and it's most likely to hurt everybody.   Costs and probably hours will have to 
be reduced it seems clear.

Isn't the finaly figure for this cut (%) supposed to be announced today?   I 
have heard anywhere from 20 to 52% is possible?  This will give a final measure 
as to how many belt loops we'll have to cinch-in...

Anybody else out there starting to feel the pain in their labs yet?


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Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends

2012-10-31 Thread H E *

   !DOCTYPE HTML PUBLIC -//W3C//DTD HTML 4.0 Transitional//EN

   Mrs. Buesa,
   I sincerely hope you are not pointing = to me as trying to foment some
   kind  of  fear  to drive voting in one = direction or another.   I did
   state  in my original post that I = hoped we could avoid the political
   vitriol, but I guess because the future = is somewhat foggy as to what
   is going to happen, I should have just left = out mention of political
   parties/presidents  in  my original post.  = We're mere days away from
   the  final  reconning, so if people haven't done = their due diligence
   and  research  on each candidate and the issues we're = facing, basing
   your  decision  on  some  comments on a forum might be a poor = way to
   base such an important decision.
   The  trending  in  POL's  is  = currently having a DIRECT effect on my
   employment  situation,  so  that  was = the motivation for my original
   post.I  would  like to = understand the landscape and ecosystem of
   private  labs,  POL's,  large = references labs and the like, and I am
   only  just starting to understand = the labrynth that is the medicaire
   billing  system.How this = all plays out is going to effect us all
   directly, so it is I guess = understandable that opinions and emotions
   almost can't be filtered out of = the discussion.  Our livelihoods are
   on the line.
   My  sincere  = appologies though if I have ruffled too many feathers
here. I was merely looking for deeper insight and = knowledge into
   the  topic.One  topic that seems to have been = raised though, and
   wich  I  tend  to agree, is there is some bloat, or = overinflation of
   procedures  going  on,  which  cuts  to  the  heart  of the issue = --
   monetary incentives to inflate charges and thus revenue, especially if
   =  Pathologists  are  now  able  to get an extra cut of the lab-fees
involved.Personally  I  don't  think  it's  a bad idea at all to
scrutinize  very closely what is going on with this, even if it upsets
   the  =  balance  and flows of money... if it leads to a more efficient
   and just = system.
 _

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[Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends

2012-10-30 Thread H E *

Does anybody care to posit ideas about how this next election cycle will effect 
the POL (Physician Owned/Operated Labs) trend?I know that opinions on 
either major candidate can be emmotional and fire up the vitriol, but that is 
not what I'm looking for and would wish to ask for as much of a clinical 
dissection about what might happen in terms of regulation of this growning 
trend depending on which party/president wins the election.   Also factored 
into the question perhaps is what will be happening with Medicaire and the 
insurance industry in future.

Currently the private lab I work at has seen some errosion of daily intake to 
at least a few doctors who have set up their own labs.One of them was even 
bold enough to send one of their medical or nursing assistant staff to tour our 
lab and have a tour and crash-course in histology and equipment needed.   I 
couldn't quite believe out management even let her in the door!?

Anyway... either due to the economy or errosion to these in house set-ups (or 
both)... it seems like our daily block count has been reduced by about half in 
the last three to four years.The management seem to be waiting it out for 
the election to play out to decide their next moves.   I think the reasoning is 
that either one president/administration or the other will influence the 
regulation of the growing POL trend.   If it becomes much more restricted and 
scrutinzed, they think this will cause a flow of work back to them because the 
docs will not be able to refer and process their own cases any more.   At least 
I think that's the gist of it.   In the meantime I'm quite frustrated because 
biz is down and it's effecting my future prospects and growth there.   
Effectively we've had no raises in more than a few years, positions have been 
downsized, and schedules gone whacky and undesireable.  Things just seem to be 
getting worse and smaller rather than growing and better.

OK,  hopefully this stirs up some interest in a conversation, or perhaps even 
just some emails, links, tips about other forums, or further reading I can do 
on this topic.  Thanks.


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