The importance of TC Modifiers in Pathology Professional Component Billing
By: Dyana Williams, RCM Client Engagement Manager As we continue to optimize our clients’ billing practices, it is crucial to ensure they have a clear understanding of the use of the TC (Technical Component) modifier, especially in situations where a pathology group...
The Power of Front-End Billing Edits: A Comparative Analysis of Claim Denials
By: Dyana Williams, Client Engagement Manager Understanding and addressing claim denial reasons is crucial for the financial stability of medical and pathology laboratories. As part of a recent case study, our RCM Solutions Team delved into the denial patterns of two...
3 Key Benefits of Building an In-House Laboratory
Note: This article was updated in March of 2024 to ensure the information within is current and accurate. As physician practices and community healthcare providers consistently seek to improve quality and provide better value to patients, one pathway that can achieve...
Using Billing Data to Compare Commercial Lab Reimbursements
By: Dyana Williams, Client Engagement Manager, Lighthouse RCM Solutions Recently, a Lighthouse RCM Solutions client asked their billing vendor: What is our commercial reimbursement rate as a percentage of Medicare for CPT 88305? Utilizing our RCM Spotlight billing and...