In the complex landscape of laboratory and diagnostic test reimbursement, it can be difficult to understand how best to pursue coding and payment strategies for new tests when working across various government and private payers. One straightforward approach is to...
By: Ann Lambrix, VP of RCM Consulting, Lighthouse Lab Services. About this article: Our monthly “RCM Industry Spotlight” series highlights timely findings from Lighthouse’s proprietary RCM Spotlight denial management tool. If you’d like to...
Independent laboratories have been pushed to the brink of financial instability in recent years due to the price cuts mandated by the Protecting Access to Medicare Act of 2014 (PAMA). However, as part of a yearslong effort to rectify the problematic pricing and...
A number of key waivers put in place at the beginning of the COVID-19 Public Health Emergency to facilitate widespread testing will end when the emergency declaration expires on May 11, according to recent updates from CMS. While labs and providers performing COVID...
The American Medical Association CPT Editorial Board recently announced 13 new digital pathology add-on codes that will go into effect Jan. 1, 2023. According to the College of American Pathologists (CAP), the new digital pathology Category III CPT codes will be used...
CPT 80500 and 80502 will be deleted in 2022.80500 (Clinical pathology consultation; limited, without review of patient’s history and medical records)80502 (… comprehensive, for a complex diagnostic problem, with review of patient’s history and medical records)There...
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