Episode 8: Andy Diamond, President of Diamond Medical Labs and Mobile Medical Imaging, Part 1

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Mastering Medicare

25 episodes

4 months ago

What's the difference between Home Health and Home Care? How do Medicare Part A and Part B work? How do you order DME for your patient? When and how should you order home oxygen? What's new in the eldercare space? For physicians, other healthcare professionals, and senior-serving professionals, interacting with Medicare can be complicated and wrought with pitfalls, which, if not understood and managed, will mire your practice in endless paperwork and frustration. We interview industry experts in every aspect of healthcare, from insurance companies, DME companies, home health agencies, medical providers, and many others, to bring you their real world expertise in the American healthcare system. Your hosts are Dr. Amy Schiffman and Dr. Alex Mohseni, two Emergency Medicine physicians who have branched off from traditional Emergency Medicine to explore and build solutions with a particular focus on eldercare and population health. Join our Facebook group: https://www.facebook.com/groups/602747270479020/ Join our Subscriber List and get exclusive access to our Mastering Medicare Cheat Sheet and other goodies: https://www.masteringmedicare.net/subscribe

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Episode 8: Andy Diamond, President of Diamond Medical Labs and Mobile Medical Imaging, Part 1

Mastering Medicare

57 minutes 6 seconds

5 years ago

Episode 8: Andy Diamond, President of Diamond Medical Labs and Mobile Medical Imaging, Part 1

Amy and Alex interview Andy Diamond, the President of Diamond Medical Labs and Mobile Medical Imaging. In this amazing episode, Andy teaches us everything about how labs are done in nursing homes, rehabs, assisted livings and in patients' homes.
In part 1 we discuss:
How and why do lab companies have contracts with nursing homes and assisted living facilities?
Part A and Part B billing for labs in the same facility
Figuring out Same and Similar in the lab world
Patient financial responsibility for labs drawn in a nursing home
Lack of centralized database of lab data
Integration with state health information exchange / CRISP
What is a health information exchange?
Why does CRISP charge the lab company to participate?
Nursing home is paying for some lab tests directly
Lab billing denials
Revenue cycle management in the lab world
What are the most common mistakes and issues when nursing homes and assisted livings order labs?
What labs aren't allowed to tell ordering physicians?
Alex thinks the rules for ordering labs are stupid
Trends in lab testing
Molecular testing - why is molecular testing becoming more popular?
Who collects urine samples in nursing homes and homebound patients?
What is the cost of molecular testing and is the denial rate different?
What things to consider other than just the cost of a lab test?
Workflow requirements for molecular testing
PGX testing - what is it and why would you order it?
Cost of PGX testing
Are the results from PGX testing easy to interpret?
Effect of PAMA on labs and lookback for lab payments
Why doctors can't have their own labs