7 New Payer Contracts Obtained for Full-Service Medical Lab
Overview The client is an independent medical laboratory located in the Southeast of the U.S. that has served its local community for almost seven years. It is a full-service lab including blood culture, toxicology, and molecular testing. RELATED CASE STUDY: Expanding...
Case Study: Payer Denying Lab Outreach Work Due to Policy Error
By: Beth Madden, Client Manager, Lighthouse RCM Solutions The Issue Our RCM Solutions Team often digs into denials that continually stem from the same payer in order to help our clients better understand what is creating a payment logjam while ensuring future claims...
What is MolDX and When Do I Need a Z-Code?
Information provided by Tami Shaw, Client Manager, Lighthouse Lab Services Palmetto and WPS delayed enforcement of the LCD highlighted in this article until May 17, 2022. The LCD highlighted in this article went into effect for CGS and Noridian on June 2, 2022....
Navigating Medical Necessity for PCR Testing
It’s essential for referring providers considering large panel tests to grasp the nuances of Medicare National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs) in order to effectively navigate medical documentation requirements. Without...