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New Digital Pathology Codes Announced for 2023

New Digital Pathology Codes Announced for 2023

by Alex Mitchell | Jul 6, 2022 | Revenue Cycle Management, Billing & CPT Codes

The American Medical Association CPT Editorial Board recently announced 13 new digital pathology add-on codes that will go into effect Jan. 1, 2023. According to the College of American Pathologists (CAP), the new digital pathology Category III CPT codes will be used...
2022 CPT Update: Clinical Pathology Consults

2022 CPT Update: Clinical Pathology Consults

by Alex Mitchell | Jun 17, 2022 | Revenue Cycle Management, Billing & CPT Codes

CPT 80500 and 80502 will be deleted in 2022.80500 (Clinical pathology consultation; limited, without review of patient’s history and medical records)80502 (… comprehensive, for a complex diagnostic problem, with review of patient’s history and medical records)There...
Cigna to Cap PC Clinical Pathology Reimbursement at $5 Beginning July 1

Cigna to Cap PC Clinical Pathology Reimbursement at $5 Beginning July 1

by Alex Mitchell | Apr 11, 2022 | Revenue Cycle Management, Pathology Management, Billing & CPT Codes

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...
Case Study: Biller’s Contract Breach Results in Client Settlement

Case Study: Biller’s Contract Breach Results in Client Settlement

by Alex Mitchell | Mar 3, 2022 | Denial Management, Revenue Cycle Management, Pathology Management, Billing & CPT Codes

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...
Artificial Intelligence: Payers vs Medical Billers Round One

Artificial Intelligence: Payers vs Medical Billers Round One

by Alex Mitchell | Mar 1, 2022 | Industry Insights, Revenue Cycle Management, Tips for New Lab Owners, Pathology Management, Billing & CPT Codes

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...
New codes created for monoclonal antibody bebtelovimab

New codes created for monoclonal antibody bebtelovimab

by Alex Mitchell | Feb 22, 2022 | Billing & CPT Codes

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...
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