Case Study: Payer Denying Lab Outreach Work Due to Policy Error
By: Beth Madden, Client Manager, Lighthouse RCM Solutions The Issue Our RCM Solutions Team often digs into denials that continually stem from the same payer in order to help our clients better understand what is creating a payment logjam while ensuring future claims... The Power of Front-End Billing Edits: A Comparative Analysis of Claim Denials
Understanding and addressing claim denial reasons is crucial for the financial stability of medical and pathology laboratories. As part of a recent case study, our RCM Solutions Team delved into the denial patterns of two of our large clients within the same state to... Using Billing Data to Compare Commercial Lab Reimbursements
Recently, a Lighthouse RCM Solutions client asked their billing vendor: What is our commercial reimbursement rate as a percentage of Medicare for CPT 88305? Utilizing our internal billing data, our team was able to compile the following information for the client in...
Unpacking the Billing Mystery of the GI Panel
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 hardboiled detective stories. The setup The dim glow of my office... 
Lighthouse Acquires MJB Lab Consulting, Expanding Medical Leadership Services