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...
On Feb. 11, the FDA authorized the emergency use of the monoclonal antibody bebtelovimab for the treatment of mild-to-moderate COVID-19 in adult and pediatric patients when all of these apply: They have a positive COVID-19 test result They’re at high-risk for...
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,...
The following are 2022 Current Procedural Terminology (CPT) coding updates for pathology consultations. When talking with your billers, make sure they have added these new codes in their systems and your fee schedules. CPT 80500 and 80502 will be deleted in...
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