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Pennsylvania Medicaid Approves Addition of Key FNA Pathology Codes Following Advocacy Effort

Pennsylvania Medicaid Approves Addition of Key FNA Pathology Codes Following Advocacy Effort

by Alex Mitchell | Sep 10, 2026 | Case Studies, Revenue Cycle Management, Industry Insights

Unpacking the Reimbursement Issue In a significant reimbursement development for pathologists across Pennsylvania, Lighthouse Lab Services successfully advocated for the addition of CPT codes 88172, 88173, and 88177 to the Pennsylvania Medical Assistance (Medicaid)...
Laboratory RCM Case Study: Brown University Health

Laboratory RCM Case Study: Brown University Health

by Alex Mitchell | Sep 4, 2026 | Case Studies, Revenue Cycle Management, Industry Insights

A Q&A with Christopher Burks, Vice President of Laboratory and Support Services, Brown University Health. How laboratory-specialized RCM consulting helped a high-volume health system strengthen billing oversight, refine workflows, and create a durable plan for...
Expanding Molecular PCR Services by Securing Nationwide Payer Contracts

Expanding Molecular PCR Services by Securing Nationwide Payer Contracts

by Alex Mitchell | Oct 16, 2025 | Industry Insights, Case Studies, Lab Operations & Management, Revenue Cycle Management

Client: Infinite Genomics, LLC    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 that plan...
Medical Billing Audit Unlocks $20K in Claims After Cyberattack

Medical Billing Audit Unlocks $20K in Claims After Cyberattack

by Alex Mitchell | Sep 15, 2025 | Payer Audits & Alerts, Case Studies, Denial Management, Tips for New Lab Owners, Revenue Cycle Management, Industry Insights

00:00 1X   As we look back at recent trends, 2024 may go down as the year of the cyberattack. In February of last year, the Change Healthcare breach made national headlines as the largest healthcare cyberattack in history, halting claims submission and disrupting...
Case Study: Using Billing Data to Bolster Lab Contract Negotiations

Case Study: Using Billing Data to Bolster Lab Contract Negotiations

by Alex Mitchell | Mar 17, 2025 | Case Studies, Denial Management, CMS Fee Schedules, Revenue Cycle Management, Industry Insights

Overview A leading laboratory client was initially offered a reimbursement rate of 100% Medicare for their commercial policies. Given that commercial payors typically reimburse significantly higher than Medicare rates, accepting this offer would have left substantial...
The Cost of Cybersecurity Failures in Healthcare: Lessons from the Ascension Breach

The Cost of Cybersecurity Failures in Healthcare: Lessons from the Ascension Breach

by Alex Mitchell | Mar 6, 2025 | Payer Audits & Alerts, Case Studies, Denial Management, Revenue Cycle Management, Industry Insights

The healthcare industry continues to face an increasing number of cybersecurity threats, and the fallout from these breaches can extend far beyond immediate downtime. The Ascension cyberattack in May 2024 serves as a stark reminder of just how vulnerable healthcare...
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