Utilizing Billing Data to Bolster Healthcare Payer Contract Negotiations
Have you ever wondered how healthcare providers navigate complex payer contracts to maximize their revenue while adapting to this ever-changing industry? A recent scenario encountered by our RCM Solutions team highlights the importance of having quick access to...
Examining Common Denial Reasons for Drug Screenings
Presumptive drug testing screens for drug presence, while definitive testing identifies specific drugs and concentrations. Both aid in patient care and treatment decisions. In the world of healthcare, efficient revenue cycle management (RCM) is crucial for... Effectively Managing Timely Filing Denials
Issues Identified: During a client’s quarterly billing audit, Lighthouse RCM Solutions identified a claim that was denied for timely filing and adjusted off as uncollectible. Background: Timely filing is the contracted timeframe in which a claim must be... Key Billing Considerations for Toxicology Labs: Documentation and Medical Necessity
A recent publication from Palmetto GBA highlights the fact that laboratory services are among the top service types found to make the highest number of billing errors. They categorize those billing errors into five areas of concern, with over 80% of them directly... 