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Reintroduction of SALSA Aims to Fix Lab PAMA Reporting

Reintroduction of SALSA Aims to Fix Lab PAMA Reporting

by Alex Mitchell | Apr 13, 2023 | CMS Fee Schedules, Revenue Cycle Management, Industry Insights, Clinical Laboratory

Independent laboratories have been pushed to the brink of financial instability in recent years due to the price cuts mandated by the Protecting Access to Medicare Act of 2014 (PAMA). However, as part of a yearslong effort to rectify the problematic pricing and...
Pathology Job Market Struggling to Meet Increasing Demand

Pathology Job Market Struggling to Meet Increasing Demand

by Alex Mitchell | Mar 21, 2023 | Lab Recruiting & Careers, Pathology Management, Revenue Cycle Management

By: Mick Raich, former President of RCM Consulting, Lighthouse Lab Services/Vachette The pathology job market is quickly changing. Several years ago, I did a speech about the pathology job market and noted there were 351 open pathology positions nationwide at the...
Major COVID Testing Changes Expected as Health Emergency Ends

Major COVID Testing Changes Expected as Health Emergency Ends

by Alex Mitchell | Feb 24, 2023 | Billing & CPT Codes, Revenue Cycle Management, Clinical Laboratory

A number of key waivers put in place at the beginning of the COVID-19 Public Health Emergency to facilitate widespread testing will end when the emergency declaration expires on May 11, according to recent updates from CMS. While labs and providers performing COVID...
VALID Act, SALSA Expected to Be Reintroduced

VALID Act, SALSA Expected to Be Reintroduced

by Alex Mitchell | Feb 14, 2023 | Pathology Management, Revenue Cycle Management, Industry Insights

A couple of key laboratory legislative issues that were put on hold at the end of 2022 now appear to be making comebacks as they seek new Congressional champions. Check out the news roundup below for the latest developments on VALID, SALSA, and more.   VALID...
How to Effectively Negotiate Payer Contracts

How to Effectively Negotiate Payer Contracts

by Alex Mitchell | Feb 10, 2023 | Revenue Cycle Management, Pathology Management, Industry Insights

While the future of healthcare may be value-based, the reality is most laboratories and pathologists still largely operate in a fee-for-service environment. Given that fact, understanding how to effectively track and negotiate your insurance payer contracts is a must...
What Labs May Be Missing About Timely Filing Write-Offs

What Labs May Be Missing About Timely Filing Write-Offs

by lighthouselab | Feb 3, 2023 | Revenue Cycle Management, Industry Insights

By: Amy Keil, Client Manager, RCM Solutions Do you review your monthly payment adjustments? Does your biller explain what they are writing off and why? Do you have anyone that can track your payment adjustments each month? Do you know how much money you are losing...
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