Last year, we notified drug testing providers CMS was reviewing definitive and presumptive drug screening claims for errors and missing documentation as part of its Targeted Probe and Educate (TPE) program. Results for the WPS Region were published last week, showing...
Client: Infinite Genomics, LLC Fall 2023 Overview Infinite Genomics was formed as a molecular diagnostic laboratory in 2021. Although the lab is located in North Little Rock Arkansas, it intended to offer PCR services to providers across the nation. To put...
PAMA Reporting Delayed Again as Permanent Fix Sought Labs received a welcome reprieve from looming Clinical Lab Fee Schedule (CLFS) cuts this month when Protecting Access to Medicare Act (PAMA) reporting and associated test reimbursement reductions were delayed until...
Have you ever wondered how healthcare providers navigate complex payer contracts to maximize their revenue while adapting to this ever-changing industry? A recent scenario encountered by our RCM Solutions team highlights the importance of having quick access to...
By: Dyana Williams, Client Engagement, Lighthouse RCM Solutions The following is a case study of a Gastrointestinal (GI) panel billing issue we helped a client navigate. The blog takes a light-hearted approach and unpacks the problem in the format of classic...
By: Dyana Williams, Client Engagement Manager, Lighthouse RCM Solutions Abstract This white paper explores the power of artificial intelligence (AI) to bolster human expertise in drafting and simplifying communications with health plans regarding claims issues...
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