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No Surprises Act Frequently Asked Questions

No Surprises Act Frequently Asked Questions

by Alex Mitchell | Jun 8, 2025 | Billing & CPT Codes, Industry Insights, Revenue Cycle Management, Pathology Management

Federal Surprise Billing Law effective: Jan. 1, 2022 Overview: The No Surprises Act (NSA) provides individuals and families covered by group and individual health plans protection against unexpected, high-priced medical bills for services delivered at in-network...
MIPS 2023: Reporting for Pathologists

MIPS 2023: Reporting for Pathologists

by Alex Mitchell | Aug 9, 2022 | Revenue Cycle Management, Pathology Management

By: Beth Madden, Client Administrator CMS has announced what lies ahead for the Merit-based Incentive Payment System (MIPS) program with proposed adjustments for the 2023 performance year, which impacts Medicare Part B payments in 2025. RELATED: 2023 Medicare...
2023 Proposed Medicare PFS: See Impact to Pathology

2023 Proposed Medicare PFS: See Impact to Pathology

by Alex Mitchell | Jul 11, 2022 | Revenue Cycle Management, CMS Fee Schedules

The 2023 Medicare Physician Fee Schedule Proposed Rule was released late Thursday, July 7. After two consecutive years of a Congress delaying a number of anticipated reimbursement cuts due to the impact of the COVID pandemic, it now appears some of these previously...
Case Study: Biller’s Contract Breach Results in Client Settlement

Case Study: Biller’s Contract Breach Results in Client Settlement

by Alex Mitchell | Mar 3, 2022 | Billing & CPT Codes, Revenue Cycle Management, Pathology Management, Denial Management

When a client recently went uncompensated for months of work due to a biller’s breach of contract, we were able to fight on their behalf to recover a $25,000 settlement. Last spring, one of our clients hired two new pathologists for her team, with a March 1 start...
2021 Medicare Fee Schedule boost: See impact to pathology services

2021 Medicare Fee Schedule boost: See impact to pathology services

by Alex Mitchell | Jan 13, 2021 | Billing & CPT Codes, CMS Fee Schedules, Pathology Management

As part of the COVID relief and appropriations package signed into effect Dec. 27, Congress took steps to mitigate significant fee schedule reductions for several specialties that were designed to offset payment boosts for evaluation and management (E/M) services....
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