California pathologists who have grown frustrated with retroactive recoupments from Medi-Cal in recent years due to their outdated rate-setting methodology now have some relief after California Gov. Gavin Newsom signed a comprehensive health care budget bill (AB 133) on July 27.
oviders who participated in the 2020 MIPS Performance Period may now view their final scores. Participants also now have the option to request a targeted review if they believe any errors were made in calculating their bonus or penalty for the 2022 payment year.
In 2020 and early 2021, more than $4 trillion was pumped directly into society, including funding for healthcare providers and facilities. While most Americans spent last year wondering if the world was collapsing, healthcare had one of its best years ever.
he Covid-19 Public Health Emergency has been extended for an additional 90 days after HHS Secretary Xavier Becerra signed off on the extension Monday.
Pathologists and independent laboratories will experience a handful of significant payment reductions for key services if CMS adopts changes released Tuesday in the 2022 Medicare Physician Fee Schedule (MPFS) Proposed Rule.
As part of a new policy update, UnitedHealthcare will no longer cover non-emergency services members receive from out-of-network facilities outside their service area, effective July 1.
UnitedHealthcare announced Thursday it is delaying implementation of its Lab Test Registry "until further notice" due to Covid.
So, what does this recent development actually mean? Most likely, Cigna will slowly and by degrees stop paying for the professional component of clinical pathology.
Struggling to get your lab in-network as commercial payers continue to tighten their networks? Sign up for Lighthouse Lab Services next webinar to learn how to break through this difficult process!
It has recently come to our attention that a large national health plan is denying payment for a pathology group due to confusion over their tax ID number.
Health care providers who received distributions from the Health and Human Services Provider Relief Fund during the Covid-19 Public Health Emergency now have instruction on how to report on the use of those funds after HHS published new rules Friday.
In an effort to get more Covid-19 vaccinations into the arms of the general public, the Biden Administration announced Wednesday that Medicare payments for in-home vaccinations will be nearly doubled from the current rate.
After previously stating its intent to stop paying the professional component of clinical pathology, Cigna has reversed course and will continue paying for these services, according to CAP.
Recently, Vachette was hired by a laboratory client under new management to review their outstanding accounts receivable (A/R). The goal was to assess the full scope and realistic collectability of their outstanding payments, while at the same time analyzing the...
The HHS OIG recently revealed CMS overpaid Anthem about $3.4 million in Medicare Advantage payments due to the payer failing to meet federal coding rules.
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.