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Expanding Molecular PCR Services by Securing Nationwide Payer Contracts

Expanding Molecular PCR Services by Securing Nationwide Payer Contracts

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

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 | Revenue Cycle Management, Payer Audits & Alerts, Case Studies, Denial 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...
Utilizing Billing Data to Bolster Healthcare Payer Contract Negotiations

Utilizing Billing Data to Bolster Healthcare Payer Contract Negotiations

by lighthouselab | Nov 17, 2024 | Payer Audits & Alerts, Case Studies, Denial Management, Revenue Cycle Management, Industry Insights

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...
Effectively Managing Timely Filing Denials

Effectively Managing Timely Filing Denials

by lighthouselab | Sep 22, 2024 | Industry Insights, Payer Audits & Alerts, Case Studies, Denial Management, Revenue Cycle Management

Issues Identified: During a client’s quarterly billing audit, Lighthouse RCM Solutions identified a claim that was denied for timely filing and adjusted off as uncollectible.   Background: Timely filing is the contracted timeframe in which a claim must be...
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