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
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...
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...
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...
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...