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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

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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Keys to Adding a Laboratory to Your Gastroenterology Practice

Keys to Adding a Laboratory to Your Gastroenterology Practice

Building a laboratory within a gastroenterology (GI) or endoscopy practice can be a strategic move to boost control over your samples and improve your standing with private payers, providing physicians with opportunities for increased efficiency and revenue. In this...

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PAMA laboratory reimbursement cuts delayed through 2024

PAMA laboratory reimbursement cuts delayed through 2024

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...

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Unpacking the Billing Mystery of the GI Panel

Unpacking the Billing Mystery of the GI Panel

By: Dyana Williams, Client Engagement, Lighthouse RCM Solutions The following is a case study of a Gastrointestinal (GI) panel billing issue we helped a client navigate. The blog takes a light-hearted approach and unpacks the problem in the format of classic...

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Leveraging AI to Improve Payer Contracting Communications

Leveraging AI to Improve Payer Contracting Communications

By: Dyana Williams, Client Engagement Manager, Lighthouse RCM Solutions   Abstract This white paper explores the power of artificial intelligence (AI) to bolster human expertise in drafting and simplifying communications with health plans regarding claims issues...

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Exploring the Impact Healthcare Mergers Can Have on Your Lab

Exploring the Impact Healthcare Mergers Can Have on Your Lab

We've recently seen a number of high-profile healthcare mergers, and as these changes accelerate, we've been working to keep our clients informed of how they could be impacted by deals involving their health systems or organizations. While some high-profile mergers...

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