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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

7 New Payer Contracts Obtained for Full-Service Medical Lab

7 New Payer Contracts Obtained for Full-Service Medical Lab

Overview The client is an independent medical laboratory located in the Southeast of the U.S. that has served its local community for almost seven years. It is a full-service lab including blood culture, toxicology, and molecular testing. RELATED CASE STUDY: Expanding...

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Case Study: Payer Denying Lab Outreach Work Due to Policy Error

Case Study: Payer Denying Lab Outreach Work Due to Policy Error

By: Beth Madden, Client Manager, Lighthouse RCM Solutions The Issue Our RCM Solutions Team often digs into denials that continually stem from the same payer in order to help our clients better understand what is creating a payment logjam while ensuring future claims...

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Navigating Medical Necessity for PCR Testing

Navigating Medical Necessity for PCR Testing

It's essential for referring providers considering large panel tests to grasp the nuances of Medicare National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs) in order to effectively navigate medical documentation requirements. Without...

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What’s Standard for Medical Lab Billing Contracts?

What’s Standard for Medical Lab Billing Contracts?

Update: This article was reviewed in April 2024 to update the information within and ensure figures cited are still accurate. Entering into an agreement for medical billing services is an important process for any clinical lab or pathology group who does not have this...

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How Labs Should Respond to the Change Healthcare Cyberattack

How Labs Should Respond to the Change Healthcare Cyberattack

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...

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Using Billing Data to Compare Commercial Lab Reimbursements

Using Billing Data to Compare Commercial Lab Reimbursements

By: Dyana Williams, Client Engagement Manager, Lighthouse RCM Solutions Recently, a Lighthouse RCM Solutions client asked their billing vendor: What is our commercial reimbursement rate as a percentage of Medicare for CPT 88305? Utilizing our RCM Spotlight billing and...

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CMS Targeting Errors on Drug Testing Claims Following TPE Review

CMS Targeting Errors on Drug Testing Claims Following TPE Review

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...

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