Unpacking the New NCCI Billing Edit Impacting Drug Testing
UPDATE: CMS Withdraws NCCI Edit Impacting Drug Testing On July 1, 2023, the Centers for Medicare and Medicaid Services (“CMS”) implemented a new National Correct Coding Initiative (“NCCI”) Procedure-to-Procedure (“PTP”) edit for codes 80305, 80306, and 80307 for...
Cuts for Labs, Pathology again proposed for 2024 Medicare Fee Schedule
The 2024 Medicare Physician Fee Schedule Proposed Rule released July 13 is already generating pushback from lab and pathology advocates, such at the College of American Pathologists (CAP), who contend these services and the physicians who provide them cannot sustain...
Incorrect Modifier Use Ties Up $200K in Lab Reimbursements
Our latest denial spotlight uncovers how RCM Spotlight, a powerful, AI-assisted tool for revenue cycle and denial management, optimized billing processes for one of our independent lab clients to unlock nearly $200,000 in reimbursement opportunities for previously...
New Digital Pathology Codes Introduced for 2024
The American Medical Association CPT Editorial Panel recently announced 30 new digital pathology add-on codes that will go into effect Jan. 1, 2024. According to the College of American Pathologists (CAP), the new digital pathology Category III CPT codes will be used...