How Will the Biden Vaccine Mandate Affect the Laboratory Industry?
By: Mick Raich, former President, RCM Consulting, Lighthouse Lab Services We have all heard about the recent Biden vaccine mandate for companies with more than 100 employees. Like most government changes, this will cause some issues going forward. In short, President... Cigna again moves to end PC clinical pathology payments
Update: According to Cigna, its new PC clinical pathology policy will only result in denials “when the facility where the services were provided is contractually responsible for laboratory management and oversight services.” After holding off on the move...
Aetna to reduce timely filing limits for non-par providers in 2022
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....
UHC Medicare Advantage claims to require DEX Z-code beginning Oct. 1
By: AJ Lech, Client Administrator, Lighthouse Lab Services The UnitedHealthcare Medicare Advantage product will now require a DEX Z-code, effective 10/1/21. Similar to Medicare, the Z-code will be submitted in the Loop 2400. UHC will not require any separate...
Lighthouse Acquires MJB Lab Consulting, Expanding Medical Leadership Services