Billing- CMS has rescinded ATP codes (bundled testing) for 2018 due to PAMA legislation. Labs should review Medicare reimbursement to ensure the individual MAC carriers are following these new guidelines.
Profitability- Due to the recent reimbursement cuts from CMS, it is important for labs to review their current billing systems. In order to maximize reimbursement, labs must minimize huge write off of lab reimbursement for non-payment from all insurance carriers. A billing system with the appropriate software can greatly assist in making these decisions.
Operational- If a lab has more than 1 gallon of a flammable reagent per 100 square feet of lab space than it must be kept in a certified flammable cabinet with doors that shut automatically. If the lab has an automatic sprinkler system, the rule is 2 gallons per 100 square feet.
Operational- While there are no specific guidelines from OSHA regarding the re-use of tourniquets, single use non-latex tourniquets are currently recommended for phlebotomy use and should be disposed of after each venipuncture. These tourniquets reduce cross contamination between patients and health care workers. If a tourniquet is soiled with blood, it should not be cleaned for re-use.
Operational- When discarding lab instrumentation that becomes inoperable you must take into account local disposal requirements for biohazard materials. The analyzer must be decontaminated per the manufacturers guidelines and any sharp objects or parts removed. Once this step has been completed, contact your local biohazard waste disposal facility to see if the instrument can be placed in a dumpster or if there are other disposal requirements.