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
Case Study: Using Billing Data to Bolster Lab Contract Negotiations
Overview A leading laboratory client was initially offered a reimbursement rate of 100% Medicare for their commercial policies. Given that commercial payors typically reimburse significantly higher than Medicare rates, accepting this offer would have left substantial...
The Cost of Cybersecurity Failures in Healthcare: Lessons from the Ascension Breach
The healthcare industry continues to face an increasing number of cybersecurity threats, and the fallout from these breaches can extend far beyond immediate downtime. The Ascension cyberattack in May 2024 serves as a stark reminder of just how vulnerable healthcare...
3 Things to Know When Billing for Genetic and Molecular Testing
As labs throughout the country continue to explore new revenue streams in the face of seemingly endless annual cuts from CMS and commercial payers, many are adding genetic testing and molecular diagnostics to their test menus. However, due to a patchwork of regional...
Managed Care Contracting: How Hospital Labs Can Improve Their Negotiating Approach
When it comes to managed care contracting, hospital laboratories face an increasingly complex landscape. Navigating these contracts effectively can make the difference between thriving financially and struggling to maintain operations. Understanding key contract...
The Benefits of Lab Billing Consulting Services
Effective billing processes are central to the smooth operation of any laboratory. However, laboratory managers face complex challenges daily, with an increasing volume of claims and a matrix of rules that govern healthcare billing. Fortunately, lab billing consulting...
2025 CPT Code Changes for Pathology
Analysis provided by: Billie Mildenberger, Director of Audit Services, Lighthouse RCM Solutions Starting Jan. 1, 2025, there are 9 revisions, 114 additions, and 14 deletions for Pathology and Lab CPT codes. Many of these changes are to PLA (Proprietary Laboratory...
Key Considerations When Adding Digital Pathology
Digital pathology is rapidly transforming the field of diagnostic medicine, offering laboratories exciting opportunities to enhance workflow efficiency, patient outcomes, and collaboration. While the technology is promising, adopting it requires careful planning and...
9 Things to Consider When Negotiating Lab Service Contracts
Navigating the world of service contracts for clinical labs involves more than just signing on the dotted line. These agreements lay the foundation for operational efficiency and ensure that your lab’s equipment runs smoothly. To negotiate these contracts effectively,...
The Benefits of Adding NGS Testing in Your Laboratory
As advancements in molecular diagnostics continue to evolve, next-generation sequencing (NGS) testing represents an exciting opportunity for physician-owned laboratories to expand their services. Beyond providing cutting-edge insights into oncology and OB-GYN care,...
Lighthouse Acquires MJB Lab Consulting, Expanding Medical Leadership Services