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The Cost of Directory Noncompliance Under the No Surprises Act

The Cost of Directory Noncompliance Under the No Surprises Act

by lighthouselab | Jan 27, 2023 | Pathology Management, Revenue Cycle Management, Industry Insights

One of the less familiar provisions in the No Surprises Act is a requirement for in-network health plan provider directories to be maintained and verified no less than every 90 days. These rules apply to providers, facilities, and health plans, and offer no exemptions...
3 Cost Changes Facing Labs and Providers in the New Year

3 Cost Changes Facing Labs and Providers in the New Year

by lighthouselab | Jan 17, 2023 | Revenue Cycle Management, Industry Insights, Clinical Laboratory

By: Dyana Williams, Client Manager, Lighthouse RCM Solutions Don’t you love the way we use the phrase “perfect storm” to describe adverse situations? It does bring to mind the way that a combination of events can coalesce into something much greater than the sum of...
6 Things Labs Need to Be Aware of in 2023

6 Things Labs Need to Be Aware of in 2023

by Alex Mitchell | Jan 13, 2023 | Clinical Laboratory, CMS Fee Schedules, Industry Insights

Clinical laboratories and healthcare providers as a whole received a number of welcome reprieves from potential payment cuts and burdensome regulation as 2022 drew to a close. But that doesn’t mean many of these issues couldn’t be resurrected in a different form in...
VALID Act Excluded from Omnibus Package, Payment Cuts Delayed

VALID Act Excluded from Omnibus Package, Payment Cuts Delayed

by Alex Mitchell | Dec 22, 2022 | CMS Fee Schedules, Revenue Cycle Management, Industry Insights

In a win for laboratory innovation, the VALID Act, which would have created a new risk-based framework for regulating lab developed tests (LDTs), was excluded from the year-end omnibus spending package recently finalized by Congress, meaning the legislation...
2023 Medicare PFS: See Impact to Labs and Pathology

2023 Medicare PFS: See Impact to Labs and Pathology

by Alex Mitchell | Nov 8, 2022 | Revenue Cycle Management, Industry Insights, Clinical Laboratory

UPDATE: Cuts for Labs, Pathology Again Proposed in 2024 MPFS The 2023 Medicare Physician Fee Schedule Final Rule was released by CMS late Thursday, Nov 3. After two consecutive years of Congress delaying a number of anticipated reimbursement cuts due to the impact of...
BCBS Alabama Conducting Lab Overpayment Reviews

BCBS Alabama Conducting Lab Overpayment Reviews

by lighthouselab | Oct 27, 2022 | Clinical Laboratory, Revenue Cycle Management, Industry Insights

Lighthouse’s RCM Solutions Team was recently made aware that Blue Cross Blue Shield of Alabama is conducting overpayment reviews for infectious disease testing that could result in takebacks for impacted clinical laboratories. The message (available below)...
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