In the ongoing deployment of our RCM Spotlight denial management tool for our clients, a recurring trend has emerged: Timely filing consistently ranks among the top five denial reasons for both independent and hospital-based laboratories. Timely filing denials are a...
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...
Aetna has announced timely filing limits for non-participating providers will be reduced from 27 months to 12 months for traditional medical claims beginning Jan. 1, 2022. Providers should expect to see filing limit denials for this new timeframe beginning in 2023....
Multiple labs we work with have recently received pre-payment records requests from UnitedHealthcare to support their Covid-19 testing. While UHC isn’t denying these tests for improper coding, the payments they’ve put on hold amount to nearly $1 million in...
When CMS announced its intent to reduce payments for high-throughput COVID-19 tests next year while offering providers a path to be made whole if they met new turnaround time targets, several questions arose concerning how the agency intended to monitor its new...
State Licensing Contact Form
We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it.OkPrivacy policy