By: Tami Shaw, Client Manager Federal Surprise Billing Law effective: Jan. 1, 2022 Overview: The No Surprises Act (NSA) provides individuals and families covered by group and individual health plans protection against unexpected, high-priced medical bills for services...
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...
By: Amy Keil, Client Manager Letters from Cigna dated on or around April 1st, 2022, are not an April Fools’ Prank. It appears that Cigna is attempting a new additional tactic to manage their payment of the Professional Component of Clinical Pathology (PCCP). In this...
When a client recently went uncompensated for months of work due to a biller’s breach of contract, we were able to fight on their behalf to recover a $25,000 settlement. Last spring, one of our clients hired two new pathologists for her team, with a March 1 start...
By: Mick Raich, former President, RCM Consulting, Lighthouse Lab Services There are some interesting changes in the medical billing world surrounding artificial intelligence (AI). There is an AI war going on with payers and billers in the revenue cycle management...
One year after Congress delayed planned fee schedule cuts due to the Covid-19 pandemic, it appears pathologists and other specialists are now going to experience payment reductions designed to offset boosts for evaluation and management (E/M) services in 2022,...
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