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
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,...
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...
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
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 healthcare, efficient revenue cycle management (RCM) is crucial for...
Effectively Managing Timely Filing Denials
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 contracted timeframe in which a claim must be...
