Pathology CPT Codes
Insights on CPT Codes
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
Keys to Adding a Laboratory to Your Gastroenterology Practice
Building a laboratory within a gastroenterology (GI)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 guide, we'll...
How Pathology Groups and Labs Can Advocate for Better Compensation
Pathology and laboratory services are vital to clinical decision-making, from routine diagnostic testing to guiding complex cancer care. Yet, these professionals increasingly feel the squeeze from declining reimbursements and rising operational costs. For both...
Examining Common Denial Reasons for Drug Screenings
By: Dyana Williams, Client Engagement Manager, Lighthouse RCM Solutions Presumptive drug testing screens for drug presence, while definitive testing identifies specific drugs and concentrations. Both aid in patient care and treatment decisions. In the world of...
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evolving list of MUEs, especially when considering CMS and other carriers reserve the right to maintain a list of unpublished MUEs that providers and their billers likely won’t know about until they receive a denial.
Effectively Managing Timely Filing Denials
By: Billie Mildenberger, Director of Audit Services 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...
Pitfalls to Avoid When Using Diagnosis Z-Codes
By: Tami Shaw, Client Manager, Lighthouse RCM Solutions 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...
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 that does not have this service provided by a hospital or other partner. But what metrics and capabilities should a medical group or lab look for...
Key Billing Considerations for Toxicology Labs: Documentation and Medical Necessity
By: Liset Sanchez, Client Manager, Lighthouse RCM Solutions A recent publication from Palmetto GBA highlights the fact that laboratory services are among the top service types found to make the highest number of billing errors. They categorize those billing errors...
Navigating ‘Excludes 1’ & ‘Excludes 2’ Denials in Medical Billing
By: Tami Shaw, Client Manager At Lighthouse Lab Services, we’re committed to providing our clients with the insights and best practices needed to navigate the complexities of Revenue Cycle Management (RCM). Lately, we’ve received several inquiries from clients...