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...
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...
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,...
The Medicare National Correct Coding Initiative (NCCI) (also known as CCI) was installed to promote national correct coding methodologies and to control improper coding leading to payment. NCCI Procedure-to-Procedure (PTP) code pair edits are automated prepayment...
By: Tami Shaw, Client Manager, Lighthouse RCM Solutions Lighthouse billing and coding specialists have recently observed a rising trend of claim denials for laboratory services involving the Z00.00 diagnosis code. This code, which is used for general adult medical...
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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