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Industry Insights

Articles, News & Press Releases

We’ve consolidated the company and clinical lab industry insights in one, easy-to-search location. You will find them all here, right at your fingertips.

Industry Insight Articles

Understanding and Navigating Medicare MUE, PTP Edits

Understanding and Navigating Medicare MUE, PTP Edits

As with most CMS initiatives, it can be difficult to keep pace with the constantly evolving list of MUEs, especially when considering CMS and other carriers reserve the right to maintain a list of unpublished MUEs that providers and their billers likely won’t know about until they receive a denial.

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Medical Billing Audit Unlocks $20K in Claims After Cyberattack

Medical Billing Audit Unlocks $20K in Claims After Cyberattack

As we look back at recent trends, 2024 may go down as the year of the cyberattack. In February of last year, the Change Healthcare breach made national headlines as the largest healthcare cyberattack in history, halting claims submission and disrupting payments across the country.

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Pitfalls to Avoid When Using Diagnosis Z-Codes

Pitfalls to Avoid When Using Diagnosis Z-Codes

Lighthouse billing and coding specialists have recently observed a rising trend of claim denials for laboratory services involving the Z00.00 diagnosis code. This code, which is used for general adult medical examinations without abnormal findings, often needs to be...

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6 Tips for How to Get In Network with Insurance Companies

6 Tips for How to Get In Network with Insurance Companies

Has your lab or group encountered obstacles when trying to determine how to get in network with insurance companies who represent your patient population? If so, you’re not alone. Health insurance companies manage their provider networks in a variety of ways and under different strategies.

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Navigating the 2025 Laboratory Merger Landscape

Navigating the 2025 Laboratory Merger Landscape

Mergers and acquisitions (M&A) continue to reshape the medical laboratory industry and overall healthcare landscape in 2025. While market conditions remain complex, laboratories that prepare strategically can attract buyers, command stronger valuations, and avoid costly pitfalls.

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Case Studies

Effectively Managing Timely Filing Denials

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...

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Company News & Press Releases

Celebrating Lighthouse Lab Services’ 20th Anniversary

Celebrating Lighthouse Lab Services’ 20th Anniversary

This September marks a significant milestone for Lighthouse Lab Services as we celebrate our 20th anniversary. Over the past two decades, we have grown from a small startup focused on recruiting to a leading provider of all medical laboratory consulting and management...

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