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...
CMS Targeting Errors on Drug Testing Claims Following TPE Review
Last year, we notified drug testing providers CMS was reviewing definitive and presumptive drug screening claims for errors and missing documentation as part of its Targeted Probe and Educate (TPE) program. Results for the WPS Region were published last week, showing...
PAMA laboratory reimbursement cuts delayed through 2024
PAMA Reporting Delayed Again as Permanent Fix Sought Labs received a welcome reprieve from looming Clinical Lab Fee Schedule (CLFS) cuts this month when Protecting Access to Medicare Act (PAMA) reporting and associated test reimbursement reductions were delayed until...
Anatomic Pathology Workflow Impacted by Open Jobs, Increased Volume
By: Mick Raich, former President, RCM Consulting, Lighthouse Lab Services Recently, while attending the Executive War College in New Orleans, my goal was to drill down on the current state of the anatomic pathology workflow and diagnose some of the issues impacting...
Lighthouse Acquires MJB Lab Consulting, Expanding Medical Leadership Services