6 Tips for How to Get In Network with Insurance Companies
Has your lab or group encountered obstacles when trying to determine how to get in network with insurance companies who represent your patient population? If so, you’re not alone. Health insurance companies manage their provider networks in a variety of ways and...
MIPS 2023: Reporting for Pathologists
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...
Improving Denial Management Through Artificial Intelligence
As CMS and private payors have increased the use of Medically Unlikely Edits and prior authorization programs over that past decade to control costs and utilization, providers and their billers have had to commit an increasing amount of time and resources to denial...
What Is a CLIA Lab Director and What Are Their Requirements?
The Clinical Laboratory Improvement Amendments (CLIA) regulations specify the requirements for becoming a lab director. Rigorous standards ensure labs have qualified directors for high- and moderate-complexity testing. The lab director ensures CLIA compliance in the...