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
Update on COLA Enforcement of Clinical Consultant Qualifications
Update: This post was updated on July 17, 2023, to include additional information and clarifications surrounding COLA enforcement of Clinical Consultant qualifications following a conversation with COLA representatives. By: Tara Luellen, Vice President of Lab Director...
New Digital Pathology Codes Introduced for 2024
The American Medical Association CPT Editorial Panel recently announced 30 new digital pathology add-on codes that will go into effect Jan. 1, 2024. According to the College of American Pathologists (CAP), the new digital pathology Category III CPT codes will be used...
The Significance of Medical Necessity and CO-50 Denials
By: Dyana Williams, Client Engagement Manager Medical necessity plays a pivotal role in determining whether a service or procedure will be covered by insurance. It refers to the requirement that a healthcare service must be appropriate and essential for the diagnosis...
Understanding the Keys to Diagnostic Test Reimbursement
In the complex landscape of laboratory and diagnostic test reimbursement, it can be difficult to understand how best to pursue coding and payment strategies for new tests when working across various government and private payers. One straightforward approach is to...
Understanding Stark Law and Its Impact on Physician Office Labs
Disclaimer: This blog is a marketing piece designed to promote our services and provide general information about Stark Law. It is not intended to serve as a legal document or legal guidance for Stark Law compliance. Please be advised that this blog was revised on...
CMS Allows Continuation of Remote Review, Definitive Drug Testing LCDs Retired
In a win for digital pathology, CMS released new draft guidance this month clarifying that pathologists and other lab personnel may continue to review digital laboratory data, results, and images (“digital materials”) remotely, without obtaining a separate CLIA...
Why Mastering the Front End is Crucial to Lab RCM
By: Cassie Penn, Client Manager, Lighthouse Lab Services Laboratories have been in a whirlwind since the COVID pandemic started in 2019. Now that we have reached the end of the pandemic and the Public Health Emergency, laboratories need to work on tightening up their...
Watch for Shifts in COVID Testing Pay Ratio as Emergency Ends
By: Ann Lambrix, VP of RCM Consulting, Lighthouse Lab Services. About this article: Our monthly "RCM Industry Spotlight" series highlights timely findings from Lighthouse's proprietary RCM Spotlight denial management tool. If you'd like to learn more about how...
NY State Lab Directors Could Oversee More Facilities Under Proposed Rules
By: Tara Luellen, VP of Lab Director Services, Lighthouse Lab Services New York State recently proposed several amendments to regulations regarding laboratory directors (LDs), including moves that would impact the number of laboratories they can oversee and the...
News & Press Releases
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