By: Billie Mildenberger, Director of Audit Services, Lighthouse Lab Services RCM Case Study – MUE Denial Adjustments: Medically Unlikely Edits (MUEs) are used by Medicare Administrative Contractors (MACs), to reduce the improper payment rate for Part B claims....
Ask Ann is a new revenue cycle management mailbag headed by Ann Lambrix, Vice President of RCM Consulting for Lighthouse Lab Services. Each month, Ann will be tackling the burning billing and reimbursement questions from our clinical laboratory and pathology clients....
The American Medical Association CPT Editorial Board recently announced 13 new digital pathology add-on codes that will go into effect Jan. 1, 2023. According to the College of American Pathologists (CAP), the new digital pathology Category III CPT codes will be used...
When looking for a Laboratory Information System (LIS) that will allow your lab to better manage patient data and enhance its offerings, it’s important to keep in mind that every lab is unique and will need a LIS that matches the functionality of your lab. That’s why...
CPT 80500 and 80502 will be deleted in 2022.80500 (Clinical pathology consultation; limited, without review of patient’s history and medical records)80502 (… comprehensive, for a complex diagnostic problem, with review of patient’s history and medical records)There...
By: Tami Shaw, Client Manager 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...
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