CMS to Withdraw NCCI Edit Impacting Drug Testing
CMS is withdrawing NCCI PTP edits between Column One codes 80305, 80306, and 80307 for presumptive test(s), and Column Two codes G0480 – G0483, and G0659 for definitive test(s), according to an announcement posted on the agency’s website and communications from... Solutions for Sustaining Clinical Pathology Revenue Amidst Challenges
For hospital-based pathology groups, mastering the complex revenue cycle management processes surrounding the capture and billing of Professional Component of Clinical Laboratory (PCCP) services is paramount when the group is not being otherwise compensated through... 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... Unpacking the New NCCI Billing Edit Impacting Drug Testing
UPDATE: CMS Withdraws NCCI Edit Impacting Drug Testing On July 1, 2023, the Centers for Medicare and Medicaid Services (“CMS”) implemented a new National Correct Coding Initiative (“NCCI”) Procedure-to-Procedure (“PTP”) edit for codes 80305, 80306, and 80307 for... 
Lighthouse Acquires MJB Lab Consulting, Expanding Medical Leadership Services