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3 Things to Know When Billing for Genetic and Molecular Testing

3 Things to Know When Billing for Genetic and Molecular Testing

by Alex Mitchell | Mar 5, 2025 | Clinical Laboratory, Denial Management, Billing & CPT Codes, Revenue Cycle Management, Industry Insights

As labs throughout the country continue to explore new revenue streams in the face of seemingly endless annual cuts from CMS and commercial payers, many are adding genetic testing and molecular diagnostics to their test menus. However, due to a patchwork of regional...
The Benefits of Lab Billing Consulting Services

The Benefits of Lab Billing Consulting Services

by lighthouselab | Dec 23, 2024 | Denial Management, Billing & CPT Codes, Revenue Cycle Management, Industry Insights

Effective billing processes are central to the smooth operation of any laboratory. However, laboratory managers face complex challenges daily, with an increasing volume of claims and a matrix of rules that govern healthcare billing. Fortunately, lab billing consulting...
2025 CPT Code Changes for Pathology

2025 CPT Code Changes for Pathology

by Alex Mitchell | Dec 20, 2024 | Denial Management, Billing & CPT Codes, Revenue Cycle Management, Industry Insights

Analysis provided by: Billie Mildenberger, Director of Audit Services, Lighthouse RCM Solutions Starting Jan. 1, 2025, there are 9 revisions, 114 additions, and 14 deletions for Pathology and Lab CPT codes. Many of these changes are to PLA (Proprietary Laboratory...
Key Considerations When Adding Digital Pathology

Key Considerations When Adding Digital Pathology

by Alex Mitchell | Dec 11, 2024 | Lab Operations & Management, Billing & CPT Codes, Revenue Cycle Management, Industry Insights

Digital pathology is rapidly transforming the field of diagnostic medicine, offering laboratories exciting opportunities to enhance workflow efficiency, patient outcomes, and collaboration. While the technology is promising, adopting it requires careful planning and...
The Benefits of Adding NGS Testing in Your Laboratory

The Benefits of Adding NGS Testing in Your Laboratory

by Alex Mitchell | Nov 19, 2024 | Lab Operations & Management, Adding Lab Testing & LDTs, Billing & CPT Codes, Revenue Cycle Management, Industry Insights

As advancements in molecular diagnostics continue to evolve, next-generation sequencing (NGS) testing represents an exciting opportunity for physician-owned laboratories to expand their services. Beyond providing cutting-edge insights into oncology and OB-GYN care,...
New Novitas Process Set to Impact Pathology and Laboratory Claims

New Novitas Process Set to Impact Pathology and Laboratory Claims

by lighthouselab | Jul 31, 2024 | Payer Audits & Alerts, Denial Management, Billing & CPT Codes, Revenue Cycle Management, Industry Insights

By: Billie Mildenberger, Director of Audit Services Note: Novitas announced this change will not take effect until Sept. 19, 2024. Starting Aug. 18th, 2024, Novitas will implement a process impacting newly effective molecular pathology and Proprietary Lab Analysis...
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