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
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...
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...
Expanding Molecular PCR Services by Securing Nationwide Payer Contracts
Client: Infinite Genomics, LLC Fall 2023 Overview Infinite Genomics was formed as a molecular diagnostic laboratory in 2021. Although the lab is located in North Little Rock Arkansas, it intended to offer PCR services to providers across the nation. To put...
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...
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...
Utilizing Billing Data to Bolster Healthcare Payer Contract Negotiations
Have you ever wondered how healthcare providers navigate complex payer contracts to maximize their revenue while adapting to this ever-changing industry? A recent scenario encountered by our RCM Solutions team highlights the importance of having quick access to...
Anatomic Pathology Workflow Impacted by Open Jobs, Increased Volume
By: Mick Raich, former President, RCM Consulting, Lighthouse Lab Services Recently, while attending the Executive War College in New Orleans, my goal was to drill down on the current state of the anatomic pathology workflow and diagnose some of the issues impacting...
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...
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...