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
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...
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...
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...
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...
CMS to Withdraw NCCI Edit Impacting Drug Testing
CMS is withdrawing NCCI PTP edits between Column One codes 80305, 80306, and 80307 for presumptive test(s), and Column Two codes G0480 – G0483, and G0659 for definitive test(s), according to an announcement posted on the agency's website and communications from the...
Solutions for Sustaining Clinical Pathology Revenue Amidst Challenges
By: Dyana Williams, Client Engagement Manager, LLS RCM Solutions For hospital-based pathology groups, mastering the complex revenue cycle management processes surrounding the capture and billing of Professional Component of Clinical Laboratory (PCCP) services is...
Steps for Mitigating Timely Filing Denials on Laboratory Claims
In the ongoing deployment of our RCM Spotlight denial management tool for our clients, a recurring trend has emerged: Timely filing consistently ranks among the top five denial reasons for both independent and hospital-based laboratories. Timely filing denials are a...
Unpacking the New NCCI Billing Edit Impacting Drug Testing
On July 1, 2023, the Centers for Medicare and Medicaid Services (“CMS”) implemented a new National Correct Coding Initiative (“NCCI”) Procedure-to-Procedure (“PTP") edit for codes 80305, 80306, and 80307 for presumptive drug test(s), and codes G0480-G0483, and G0659...