By: Beth Madden, Client Administrator RCM case study: lazy appeals In reviewing a pathology client’s monthly adjustments report, I noticed there were multiple instances of “appeal denied-adjust per policy” write-offs. Because of the success I had with appeals prior to...
By: Cassie Penn, Client Manager On October 1, 2021, certain Medicare Advantage Payors, such as UHC, began requiring providers to submit DEX Z-Codes. Other Medicare Advantage Payors may now similarly start utilizing and requiring the use of DEX Z-Codes, according to a...
By: Dyana Williams, Client Manager Lighthouse Laboratory Services has been raising awareness about the risk of fraud and abuse within the lab industry for months as newly developed labs began addressing the need for COVID-19 Clinical Diagnostic Laboratory Tests...
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....
In a laboratory, workplace safety is a paramount concern. Laboratory equipment, supplies, and waste present many chances for items to get damaged and people to get hurt. But accidents and unwanted outcomes can be avoided in a laboratory that fosters a safe work...
CMS has announced it is now accepting Merit-based Incentive Payment System (MIPS) Exception applications for clinicians and groups who have been impacted by extreme or uncontrollable circumstances in 2022 and would like to opt-out of the current reporting year....
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