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Pathology CPT Codes

Insights on CPT Codes

Laboratory billing is complicated. Get guidance on Common Procedural Terminology (CPT) codes from our billing experts.

Are you billing all the correct CPT codes? You’d be surprised at what you might be missing. Learn below the latest rules and regulations from our team of medical billing experts.

Read the latest updates on Pathology CPT codes

The Cost of Directory Noncompliance Under the No Surprises Act

The Cost of Directory Noncompliance Under the No Surprises Act

By: Dyana Williams, Client Manager, LLS RCM Solutions One of the less familiar provisions in the No Surprises Act is a requirement for in-network health plan provider directories to be maintained and verified no less than every 90 days. These rules apply to providers,...

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3 Cost Changes Facing Labs and Providers in the New Year

3 Cost Changes Facing Labs and Providers in the New Year

By: Dyana Williams, Client Manager, Lighthouse RCM Solutions Don’t you love the way we use the phrase “perfect storm” to describe adverse situations? It does bring to mind the way that a combination of events can coalesce into something much greater than the sum of...

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Why a Z-Code Identifier Doesn’t Equal MolDX Reimbursement

Why a Z-Code Identifier Doesn’t Equal MolDX Reimbursement

By: Tami Shaw, Client Manager, RCM Solutions In the Spring of 2022, states participating in a Medicare MAC utilizing the MolDX program were subject to changes requiring registration for Infectious Disease testing if the panel in question is a lab developed test (LDT)....

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6 Things Labs Need to Be Aware of in 2023

6 Things Labs Need to Be Aware of in 2023

Clinical laboratories and healthcare providers as a whole received a number of welcome reprieves from potential payment cuts and burdensome regulation as 2022 drew to a close. But that doesn’t mean many of these issues couldn’t be resurrected in a different form in...

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VALID Act Excluded from Omnibus Package, Payment Cuts Delayed

VALID Act Excluded from Omnibus Package, Payment Cuts Delayed

In a win for laboratory innovation, the VALID Act, which would have created a new risk-based framework for regulating lab developed tests (LDTs), was excluded from the year-end omnibus spending package recently finalized by Congress, meaning the legislation won't...

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What’s Standard for Medical Lab Billing Contracts?

What’s Standard for Medical Lab Billing Contracts?

Entering into an agreement for medical billing services is an important process for any clinical lab or pathology group who does not have this service provided by a hospital or other partner. But what metrics and capabilities should a medical group or lab be looking...

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2023 Medicare PFS: See Impact to Labs and Pathology

2023 Medicare PFS: See Impact to Labs and Pathology

The 2023 Medicare Physician Fee Schedule Final Rule was released by CMS late Thursday, Nov 3. After two consecutive years of Congress delaying a number of anticipated reimbursement cuts due to the impact of the COVID pandemic, it now appears these previously planned...

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BCBS Alabama Conducting Lab Overpayment Reviews

BCBS Alabama Conducting Lab Overpayment Reviews

Lighthouse's RCM Solutions Team was recently made aware that Blue Cross Blue Shield of Alabama is conducting overpayment reviews for infectious disease testing that could result in takebacks for impacted clinical laboratories. The message (available below) indicates...

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Labs, Pathologists Aim to Delay 2023 Medicare Fee Schedule Cuts

Labs, Pathologists Aim to Delay 2023 Medicare Fee Schedule Cuts

As clinical laboratories and pathology groups prepare to operate outside of the Covid Public Health Emergency for the first time in years, many are turning an eye toward Medicare fee schedule cuts that could be reinstated after years of delays. According to Ann...

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