Using Billing Data to Compare Commercial Lab Reimbursements
Recently, a Lighthouse RCM Solutions client asked their billing vendor: What is our commercial reimbursement rate as a percentage of Medicare for CPT 88305? Utilizing our internal billing data, our team was able to compile the following information for the client in...
Leveraging AI to Improve Payer Contracting Communications
Abstract This white paper explores the power of artificial intelligence (AI) to bolster human expertise in drafting and simplifying communications with health plans regarding claims issues or contracting concerns. It highlights a real-world scenario where human...
Steps for Mitigating Timely Filing Denials on Laboratory Claims
A recurring lab billing 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 common reoccurrence for ancillary providers such as labs due to several...
Case Study: Biller’s Contract Breach Results in Client Settlement
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...
Lighthouse Acquires MJB Lab Consulting, Expanding Medical Leadership Services