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
3 Things to Know When Billing for Genetic and Molecular Testing
This article was updated with new information on March 5, 2023. 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...
Major COVID Testing Changes Expected as Health Emergency Ends
A number of key waivers put in place at the beginning of the COVID-19 Public Health Emergency to facilitate widespread testing will end when the emergency declaration expires on May 11, according to recent updates from CMS. While labs and providers performing COVID...
VALID Act, SALSA Expected to Be Reintroduced
A couple of key laboratory legislative issues that were put on hold at the end of 2022 now appear to be making comebacks as they seek new Congressional champions. Check out the news roundup below for the latest developments on VALID, SALSA, and more. VALID...
How to Effectively Negotiate Payer Contracts
While the future of healthcare may be value-based, the reality is most laboratories and pathologists still largely operate in a fee-for-service environment. Given that fact, understanding how to effectively track and negotiate your insurance payer contracts is a must...
What Labs May Be Missing About Timely Filing Write-Offs
By: Amy Keil, Client Manager, RCM Solutions Do you review your monthly payment adjustments? Does your biller explain what they are writing off and why? Do you have anyone that can track your payment adjustments each month? Do you know how much money you are losing...
The Cost of Directory Noncompliance Under the No Surprises Act
By: Dyana Williams, Client Manager, LLS RCM Solutions One of the less familiar provisions in the No Surprises Act is a requirement for in-network health plan provider directories to be maintained and verified no less than every 90 days. These rules apply to providers,...
3 Cost Changes Facing Labs and Providers in the New Year
By: Dyana Williams, Client Manager, Lighthouse RCM Solutions Don’t you love the way we use the phrase “perfect storm” to describe adverse situations? It does bring to mind the way that a combination of events can coalesce into something much greater than the sum of...
Why a Z-Code Identifier Doesn’t Equal MolDX Reimbursement
By: Tami Shaw, Client Manager, RCM Solutions In the Spring of 2022, states participating in a Medicare MAC utilizing the MolDX program were subject to changes requiring registration for Infectious Disease testing if the panel in question is a lab developed test (LDT)....
6 Things Labs Need to Be Aware of in 2023
Clinical laboratories and healthcare providers as a whole received a number of welcome reprieves from potential payment cuts and burdensome regulation as 2022 drew to a close. But that doesn’t mean many of these issues couldn’t be resurrected in a different form in...