Lighthouse’s RCM Solutions Team was recently made aware that Blue Cross Blue Shield of Alabama is conducting overpayment reviews for infectious disease testing that could result in takebacks for impacted clinical laboratories. The message (available below)...
As clinical laboratories and pathology groups prepare to operate outside of the Covid Public Health Emergency for the first time in years, many are turning an eye toward Medicare fee schedule cuts that could be reinstated after years of delays. According to Ann...
Accelerate your laboratory’s success and manage sustainable growth with the help of a knowledgeable laboratory consultant. You can choose to hire a consultant on an ongoing basis or to solve a single need; explore the differences between ongoing and one-time...
By: Billie Mildenberger, Director of Audit Services 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...
Whether you are a physician who is part of the growing trend to move clinical laboratory testing into your clinic, or an entrepreneur seeking to start a new independent medical lab, you likely have questions about the true cost of building a clinical lab. Starting a...
Although clinical laboratories have experienced drastic Medicare rate reductions since the introduction of the Protecting Access to Medicare Act (PAMA) required them to begin reporting private payer data to Medicare in 2017, several pandemic-related delays in recent...
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