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How Labs Should Respond to the Change Healthcare Cyberattack

How Labs Should Respond to the Change Healthcare Cyberattack

by lighthouselab | Mar 19, 2024 | Payer Audits & Alerts, Lab Operations & Management, Denial Management, Revenue Cycle Management, Industry Insights

In the wake of the recent Change Healthcare cyberattack, independent lab owners and pathology groups are facing critical challenges. This overview aims to address common questions and concerns related to the attack’s impact on revenue cycles, compliance, and patient...
CMS Targeting Errors on Drug Testing Claims Following TPE Review

CMS Targeting Errors on Drug Testing Claims Following TPE Review

by Alex Mitchell | Jan 17, 2024 | Industry Insights, Payer Audits & Alerts, CMS Fee Schedules, Billing & CPT Codes, Revenue Cycle Management

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 laboratory reimbursement cuts delayed through 2024

by Alex Mitchell | Nov 27, 2023 | Payer Audits & Alerts, CMS Fee Schedules, Revenue Cycle Management, Industry Insights

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...
CMS to Withdraw NCCI Edit Impacting Drug Testing

CMS to Withdraw NCCI Edit Impacting Drug Testing

by Alex Mitchell | Sep 11, 2023 | Industry Insights, Payer Audits & Alerts, CMS Fee Schedules, Billing & CPT Codes, Revenue Cycle Management

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...
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