The Cost of Directory Noncompliance Under the No Surprises Act
By: Dyana Williams, Client Manager, LLS RCM Solutions One of the less familiar provisions in the No Surprises Act is a requirement for in-network health plan provider directories to be maintained and verified no less than every 90 days. These rules apply to providers,...
3 Cost Changes Facing Labs and Providers in the New Year
By: Dyana Williams, Client Manager, Lighthouse RCM Solutions Don’t you love the way we use the phrase “perfect storm” to describe adverse situations? It does bring to mind the way that a combination of events can coalesce into something much greater than the sum of...
Why a Z-Code Identifier Doesn’t Equal MolDX Reimbursement
By: Tami Shaw, Client Manager, RCM Solutions In the Spring of 2022, states participating in a Medicare MAC utilizing the MolDX program were subject to changes requiring registration for Infectious Disease testing if the panel in question is a lab developed test (LDT)....
VALID Act Excluded from Omnibus Package, Payment Cuts Delayed
In a win for laboratory innovation, the VALID Act, which would have created a new risk-based framework for regulating lab developed tests (LDTs), was excluded from the year-end omnibus spending package recently finalized by Congress, meaning the legislation...