Our latest denial spotlight uncovers how RCM Spotlight, a powerful, AI-assisted tool for revenue cycle and denial management, optimized billing processes for one of our independent lab clients to unlock nearly $200,000 in reimbursement opportunities for previously...
Update: This post was updated on July 17, 2023, to include additional information and clarifications surrounding COLA enforcement of Clinical Consultant qualifications following a conversation with COLA representatives. By: Tara Luellen, Vice President of Lab Director...
The American Medical Association CPT Editorial Panel recently announced 30 new digital pathology add-on codes that will go into effect Jan. 1, 2024. According to the College of American Pathologists (CAP), the new digital pathology Category III CPT codes will be used...
By: Dyana Williams, Client Engagement Manager Medical necessity plays a pivotal role in determining whether a service or procedure will be covered by insurance. It refers to the requirement that a healthcare service must be appropriate and essential for the diagnosis...
In the complex landscape of laboratory and diagnostic test reimbursement, it can be difficult to understand how best to pursue coding and payment strategies for new tests when working across various government and private payers. One straightforward approach is to...
Disclaimer: This blog is a marketing piece designed to promote our services and provide general information about Stark Law. It is not intended to serve as a legal document or legal guidance for Stark Law compliance. Please be advised that this blog was revised on...
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