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Will Crackdown On “Pod Labs” Have Consequences For Diagnostic Services?

This article was originally published in The Gray Sheet

Executive Summary

A CMS plan to crack down on abuse by "pod labs" is generating a mixed response, as stakeholders predict unintended consequences for diagnostic services

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CMS Tackles Doctor Self-Referral Practices That May Drive Up Test Volumes

CMS is cracking down on physician self-referral in an effort to curb over-use of diagnostic tests and imaging services

CMS Tackles Doctor Self-Referral Practices That May Drive Up Test Volumes

CMS is cracking down on physician self-referral in an effort to curb over-use of diagnostic tests and imaging services

“Pod lab” ruling postponed

CMS holds off on issuing final regulations that would prevent the existence lab ownship set-ups that allow physicians to bill for ordered tests themselves. The agency proposed to amend an exception in physician self referral laws due to concerns with so-called pod labs (1"The Gray Sheet" Oct. 16, 2006, p. 8). However, CMS says in the Nov. 1 final Physician Fee Schedule that it will continue to study the issue...

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