Latest News

Initial steps for complying with the No Suprises Act

went into effect Jan. 1, 2022, the law is still facing a number of legal challenges from provider groups unhappy with the payment dispute resolution process, to say nothing surrounding the uncertainty of its implementation

No Surprises Act

Will insurers pay for at-home COVID testing?

The concept is simple: you get an at-home COVID test, pay for it, take the test, and then send in the cost to your insurance plan for reimbursement. This is exactly what healthcare used to be. 

Covid variant testing

Cigna clarifies new PC/CP policy in letter to CAP

Pathologists providing the professional component of clinical pathology (PC of CP) services now have additional clarity on how to request reimbursement under Cigna's new PC of CP policy after the insurer recently provided more details on the policy in a letter to the College of American Pathologists (CAP).

Automatic 2021 MIPS exemptions granted by CMS

Earlier this month, CMS announced individual clinicians required to report Merit-based Incentive Payment System data in the 2021 performance year will be granted an automatic exemption due to the ongoing COVID-19 Public Health Emergency (PHE).

2022 Final Medicare Fee Schedule: See impact to pathology

One year after Congress delayed planned fee schedule cuts due to the Covid-19 pandemic, it appears pathologists and other specialists are now going to experience payment reductions designed to offset boosts for evaluation and management (E/M) services in 2022, according to the Medicare Physician Fee Schedule (MPFS) Final Rule released Tuesday.

Laboratory revenue cycle management in a non-post-pandemic world

I heard the phrase “post pandemic” this week and thought to myself, “Are we ever going to be in a post-pandemic state, or has the world changed?” As I have said all along, things seen cannot be unseen. I think we are going to be living in a Covid world going forward. 

Waiting for the magic pill of Covid treatment

I like to look at health care like my old computer. There is a software side and a hardware side. The software to me, is the vaccines, drugs and treatments of a disease. The hardware is the tests and diagnostic tools.

Cigna again moves to end PC clinical pathology payments

After holding off on the move during the summer amid significant pushback from pathology and lab advocates, Cigna appears to again be moving forward with its plan to end reimbursement for the professional component of clinical pathology (PC/CP) beginning Nov. 1, 2021.

Covid Billing

Who's reviewing revenue strategy with you at this time?

Are you billing all the correct CPT codes? You’d be surprised at what you might be missing. We will review your Fee Schedule/Charge Master at no cost.

That’s right. For free.

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