Cigna to Cap PC Clinical Pathology Reimbursement at $5 Beginning July 1
By: Amy Keil, Client Manager Letters from Cigna dated on or around April 1st, 2022, are not an April Fools’ Prank. It appears that Cigna is attempting a new additional tactic to manage their payment of the Professional Component of Clinical Pathology (PCCP). In this...
Case Study: Biller’s Contract Breach Results in Client Settlement
When a client recently went uncompensated for months of work due to a biller’s breach of contract, we were able to fight on their behalf to recover a $25,000 settlement. Last spring, one of our clients hired two new pathologists for her team, with a March 1 start...
Artificial Intelligence: Payers vs Medical Billers Round One
By: Mick Raich, former President, RCM Consulting, Lighthouse Lab Services There are some interesting changes in the medical billing world surrounding artificial intelligence (AI). There is an AI war going on with payers and billers in the revenue cycle management...
New codes created for monoclonal antibody bebtelovimab
On Feb. 11, the FDA authorized the emergency use of the monoclonal antibody bebtelovimab for the treatment of mild-to-moderate COVID-19 in adult and pediatric patients when all of these apply: They have a positive COVID-19 test result They’re at high-risk for...