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VALID Act, SALSA Expected to Be Reintroduced

VALID Act, SALSA Expected to Be Reintroduced

by Alex Mitchell | Feb 14, 2023 | Pathology Management, Revenue Cycle Management, Industry Insights

A couple of key laboratory legislative issues that were put on hold at the end of 2022 now appear to be making comebacks as they seek new Congressional champions. Check out the news roundup below for the latest developments on VALID, SALSA, and more.   VALID...
How to Effectively Negotiate Payer Contracts

How to Effectively Negotiate Payer Contracts

by Alex Mitchell | Feb 10, 2023 | Pathology Management, Revenue Cycle Management, Industry Insights

While the future of healthcare may be value-based, the reality is most laboratories and pathologists still largely operate in a fee-for-service environment. Given that fact, understanding how to effectively track and negotiate your insurance payer contracts is a must...
The Cost of Directory Noncompliance Under the No Surprises Act

The Cost of Directory Noncompliance Under the No Surprises Act

by lighthouselab | Jan 27, 2023 | Pathology Management, Revenue Cycle Management, Industry Insights

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, facilities, and health plans, and offer no exemptions...
MIPS 2023: Reporting for Pathologists

MIPS 2023: Reporting for Pathologists

by Alex Mitchell | Aug 9, 2022 | Revenue Cycle Management, Pathology Management

By: Beth Madden, Client Administrator CMS has announced what lies ahead for the Merit-based Incentive Payment System (MIPS) program with proposed adjustments for the 2023 performance year, which impacts Medicare Part B payments in 2025. RELATED: 2023 Medicare...
OIG to Focus Audits on COVID Add-On Payments

OIG to Focus Audits on COVID Add-On Payments

by Alex Mitchell | May 25, 2022 | Pathology Management, Revenue Cycle Management

By: Dyana Williams, Client Manager Lighthouse Laboratory Services has been raising awareness about the risk of fraud and abuse within the lab industry for months as newly developed labs began addressing the need for COVID-19 Clinical Diagnostic Laboratory Tests...
CMS Accepting 2022 MIPS Exception Applications

CMS Accepting 2022 MIPS Exception Applications

by Alex Mitchell | May 5, 2022 | Revenue Cycle Management, CMS Fee Schedules, Pathology Management

CMS has announced it is now accepting Merit-based Incentive Payment System (MIPS) Exception applications for clinicians and groups who have been impacted by extreme or uncontrollable circumstances in 2022 and would like to opt-out of the current reporting year....
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