1. Why In-Source if Not for Better Quality? Marketing material used by consulting firms paid to build self-referral labs "The additional revenue was just what we needed to replace the revenue lost by reimbursement cuts." Troy, Michigan www.pathlabdevelopment.com

2. Why In-Source if Not for Better Quality?

3. From the www.iopathology.com website: "You see patients and do procedures. We take care of pathology for you.“ “The points raised in Stark are not onerous or difficult to satisfy.” “We will make your in-office pathology laboratory “Stark proof”.” “Our agreements are "at risk" with you. If you do not get paid neither does IOP get paid.” “You may save a few thousand dollars doing this yourself or using the "low priced consulting crowd" but you will lose hundreds of thousands of dollars in revenues for every month you delay your laboratory launch. We know the time value of money better than anyone else in this business.” “We have over 45 installations in eighteen (18) states in urology, gastroenterology, dermatology and multispecialty practices. We do it better than anyone else”.

4. If you were a Medicare beneficiary, and knew there were other pathology choices, which laboratory would you choose? DescriptionSelf- Referral Lab Independent Pathology Lab Routine review of specimens by multiple pathologists to increase diagnostic accuracy Standard 24 to 48 hour turnaround time On-site daily pathologist supervision of laboratory Anatomic pathology is their only clinical focus Prevents Medicare beneficiaries access to the highest quality pathology groups in the Medicare program Part-time, contracted pathologist not integrated into the practice Profit incentive leads to over biopsy, increasing biopsy risk and costing the Medicare program and beneficiaries more