Speaking Engagements

12 p.m. EST, Wednesday, March 23, 2022

As COVID cases and related hospitalizations continue to decline in most areas of the country, labs and pathology groups should now be turning their attention to transitioning to succeed in a post-COVID environment. While that means preparing for the end of various testing and reimbursement waivers in the short term, providers should also be considering the permanent changes COVID has introduced to the clinical lab business.

In this webinar recording, our expert panel discusses: 

  • Moves labs that made a significant portion of their revenue from COVID should be thinking about now.
  • How COVID testing may be impacted by the end of the Public Health Emergency and expiration of various testing/reimbursement waivers.
  • What type of laboratory testing will see the most growth going forward?
  • How is the relationship between labs, payors, and providers evolving?

Watch the recording here!

Presented by:

Robert Michel, Editor-in-Chief, The Dark Report

Mick Raich, President of RCM Consulting, Lighthouse Lab Services/Vachette

Jon Harol, President, Lighthouse Lab Services

12 p.m. EST, Wednesday, Feb. 23, 2022

In this webinar, leading industry experts will discuss:


  • Initial steps for complying with the No Surprises Act and how it interacts with existing state laws.
  • How to satisfy patient notice and consent requirements.
  • Current legal challenges against the Independent Dispute Resolution process.
  • The impact to hospital-based groups vs. independent labs.

Watch the recording here!

Presented by:

Danielle H. Tangorre, Partner, Robinson + Cole (Bio)

Ann Lambrix, Vice President of RCM Consulting, Vachette Pathology

View on demand here (May 19, 2021)

Join us as we welcome Dr. Stephen Ruby, MD, MBA, to discuss the importance of having a buy/sell agreement in place for your lab or practice and how your accounts receivable factors in to that discussion. Vachette VP of RCM Strategy and Growth Josh Yelen, CPFA, MAccy, and VP of RCM Consulting Ann Lambrix will also cover how to effectively collect outstanding AR and report it on your financial statements.

During this webinar, you will learn:

-How having a buy/sell agreement in place will protect your lab or practice in the event of a partner’s death.

-Recommendations on how to identify trends within your AR reporting.

-Tips for spotting red flags before these issues become significant headaches.

-How to measure whether your AR is actually being worked effectively!

-And more!

Presented by:

Stephen G Ruby, MD, MBA, White Coat Risk Management

Ann Lambrix, Vice President of RCM Consulting, Vachette Pathology

Josh Yelen, Vice President of RCM Strategy and Growth

Lighthouse Lab Services webinar: Surveillance and Screening Testing for COVID-19: The Next Step Your Lab Needs to Take

View on demand here (May 5, 2021)

In this webinar the leading industry experts will discuss:


  • Differentiating between Surveillance Testing and Screening Testing
  • Reduced Laboratory Costs for Pooled Testing
  • Government subsidized testing in school systems
  • Reimbursement: Best Practices

Presented by:

Jon Harol, President, Lighthouse Lab Services

Megan White Younts, Chief Consulting Officer, Lighthouse Lab Services

Ann Lambrix, Vice President of RCM Consulting, Vachette Pathology

View on demand here (March 16, 2021)

If the early months of 2021 have proven anything, it’s that Covid-19 testing is here to stay for the foreseeable future. However, with case numbers declining as vaccines become more widely available, it’s time for labs who have invested in the business of Covid testing to consider future lines of business.

Mike Ricciardi, founder of Miami Medical Consulting Corp and a PhD candidate (completion in April 2021) with expertise in infectious diseases and their associated diagnostics and therapeutics, will join Vachette CEO Mick Raich and President Ann Lambrix to discuss new strategies for utilizing antibody testing to measure the effectiveness of Covid-19 vaccines. With members of the general public anxious to better understand their immune response to the vaccine, this is expected to be a significant line of business in the near future. The webinar will take place at 3 p.m., Tuesday, March 16.

Other topics to be discussed include:

–How to compliantly bill for second-run Covid-19 variant tests.

–The HHS push to conduct an additional 25 million tests per month.

–What to expect for future Medicare reimbursement.

–Review of what tests must be covered without cost-sharing in light of the Biden Administration’s recent Executive Order.

–Documentation to maintain when billing for screening tests.

–New testing platforms and payment options.

Presented by:

Mick Raich, Founder and CEO, Vachette Pathology

Mike Ricciardi, founder of Miami Medical Consulting Corp and a PhD candidate (completion in April 2021) with expertise in infectious diseases and their associated diagnostics and therapeutics

Ann Lambrix, President, Vachette Pathology

Collect Rx webinar: Revenue changes for labs in 2021

Feb. 18, 2021 @ 2 p.m. EST

2021 promises to be a year of tremendous change for Labs. From changes in CPT’s to CMS’s new proposed preauthorization rules to out-of-network surprise billing legislation at the state and federal level, it’s going to be critical to understand how these effect your billing and collections operation and what you can do to maximize your collections.

Join Mick Raich, CEO of Vachette / Stark Medical Auditing and Richa Singh, EVP with Collect Rx, to learn more about 2021’s events and how you can adapt to them.

Richa Singh serves as Collect Rx’s Executive Vice President, responsible for providing out-of-network solutions for customers across healthcare, from labs to hospitals to surgery centers to behavioral health facilities. She has worked in the out-of-network space for over ten years, ensuring that providers are reimbursed fairly, accurately, and quickly for their services.

Sign up for free now!

Presented by:

Mick Raich, Founder and CEO, Vachette Pathology

Richa Singh, Executive Vice President, Collect Rx

Feb. 9, 2021 @ 2 p.m. EST

View here for free

Topics discussed include:

Understanding the latest rules and regulations for COVID-19 testing and billing, including early returns on the use and payment of the U0005 Medicare add-on code for two-day turnaround times:

–Examining early issues that have arisen surrounding the use of this code.
–Documentation you should be maintaining when billing for U0005.
–Other recent coding and billing changes introduced in 2021.

Examining the recently passed No Surprises Act and how it will interact with existing state regulations on surprise billing:

–What you need to know to keep your billing practices compliant when the law takes effect in 2022.
–Potential opportunities that could arise due to this change.
–How out-of-network labs stand to be impacted.

What to expect when the Public Health Emergency is allowed to expire:

–Waivers, including those for Stark Law, that will be revoked.
–Cost-sharing reinstituted for commercial payers?
–Preparing for audits.

Presented by:

Mick Raich, Founder and CEO, Vachette Pathology

Ann Lambrix, Vice President of Client Services, Vachette Pathology

Alex Mitchell, Quality Programs Coordinator, Vachette Pathology

Nov. 17-18, 2020

Topics discussed include:

  • Remaining compliant with evolving billing rules and regulations surrounding billing for COVID-19 tests.
  • How to use revenue projections to better prepare for the uncertainty created by the ongoing national public health emergency.
  • An examination of how payers are now scrutizing respiratory panels as providers have increasingly utilized these tests.
  • Increasing confusion surrounding who is responsible for covering employee-ordered COVID testing.
  • Next steps for moving forward amid this environment.

Vachette CEO Mick Raich will present on Nov. 18 during this complimentary 2-day virtual summit that will bring together healthcare leaders and experts to focus on the changes our care delivery system needs as it transitions from fee-for-service to value-based care reimbursement models. Plus, public health leaders will share how the pandemic, as well as political and civil unrest, are impacting healthcare today for patients, providers, payors, and employers.

Health systems and hospitals are achieving greater financial performance and delivering better patient outcomes without budget-busting investments. Are you? Advances in data-driven care by a new category of Precision Health Insight Networks are reducing overwhelming complexity. We are finally delivering on more than just the promise of high-value care in our communities, on campuses, and in our workplaces. You won’t want to miss this valuable, free Virtual Summit.

Register Now

Topics covered include:

  • COVID-19 lab reimbursements: What issues are providers currently seeing across various settings? As more employers order asymptomatic and low-risk employees to seek testing, will there be reimbursement hurdles due to the potential lack of medical necessity?
  • Demographic reporting requirements for COVID-19 testing: How are labs expected to collect this data, and what penalties may they face for failing to report it?
  • Commercial payer issues, such as UHC’s new lab test registry that will be enacted this fall: Is now the best time for payers to forge forward with these new policies, or are they simply feeling emboldened by the current environment?
  • Big picture outlook regarding how the lab industry is currently being impacted: How has the labor force been affected? Is enough testing coming online to meet demand?
  • Updates on government relief programs, including HHS provider relief, PPP loans and Medicare Advance payments.

View recording

Presented by:

Mick Raich, Founder and CEO, Vachette Pathology

John Harol, President, Lighthouse Lab Services

Ann Lambrix, Vice President of Client Services, Vachette Pathology

Alex Mitchell, Quality Programs Coordinator, Vachette Pathology

Topics discussed include:

  • Medicare Advance issues, payment recoupment and how to return unused payments.
  • HHS stimulus payments and how to calculate the second round of payments. Have you received yours? Are you eligible for more?
  • COVID-19 billing rules and regulations: how to properly follow guidelines to avoid future audits.
  • COVID-19 payments and denial trends: how are the payers handling these payments? An early view.
  • An update on government regulatory and reporting changes. Will there be changes to the clinical laboratory fee schedule and the physician fee schedule this fall? What about MIPS and PAMA?

View recording

During the session, Vachette CEO Mick Raich and VPs Ann Lambrix and Dustin Suntheimer covered a number of topics, including an update to our COVID revenue projections from March and a breakdown of where various government relief funds and programs stand.

Wednesday, April 15 @ 1 p.m. EST

We will cover the following topics:


  • How to utilize revenue projections to prepare for decreasing volume;
  • Billing metrics to monitor during the ongoing emergency;
  • Impact we’ve seen so far to payment processing, denial management, etc;
  • Billing/coding guidelines for new COVID tests;
  • Legal Considerations for Safe Working Environment;
  • Fraud & Abuse concerns amid COVID-19;
  • Remote working and data security concerns;
  • Drive-thru testing;
  • PAMA delays;
  • COVID Validation;
  • Supplemental staff to deal with this surge in demand.

Register Now

Presented by:

John Harol, Co-Founder, Lighthouse Lab Services

Mick Raich, Founder and CEO, Vachette Pathology

Ann Lambrix, Vice President of Client Services, Vachette Pathology

Dustin Suntheimer, Vice President of Sales and Marketing, Vachette Pathology

Danielle Holley Tangorre, Partner at O’Connell and Aronowitz

Alex Mitchell, Quality Programs Coordinator, Vachette Pathology

Topics discussed include:

  • How the recently passed CARES Act and Payroll Protection Program can be utilized to help your group avoid layoffs.
  • Navigating relief programs, such as the CMS Accelerated and Advance Payment Program.
  • How this will impact groups who receive Medicare Part A compensation.
  • Understanding how quality and payment reporting programs such as MIPS and PAMA have been delayed or impacted.

View recording

During the session, Vachette CEO Mick Raich and VPs Ann Lambrix and Dustin Suntheimer cover a number of topics, ranging from how revenue projections can help you prepare for volume decreases in the near future, to issues surrounding payment slowdowns and delays. They also provide an overview of relevant portions of the recently passed stimulus packages, and offer billing and coding guidelines for those performing COVID-19 testing. 

How to add molecular testing and get paid!

During a recent joint webinar with Lighthouse Lab Services, our very own Ann Lambrix reviewed the pressing questions labs considering molecular testing as a new revenue steam should consider before doing so. Many labs are adding molecular testing to their lab to diversify revenue, increase testing volume, and ultimately make more money. But does this make sense for your lab?

View Recording

Presented by:

John Harol, Co-Founder, Lighthouse Lab Services

Ann Lambrix, Vice President of Client Services, Vachette Pathology

G2 Reimbursement Summit, Oct. 3, 2019 in Charlotte, NC

Using Data Analytics in Billing: How to Effectively Manage Denials and Appeals

G2 Lab Leadership Event – Oct. 3 at the Courtyard by Marriott Charlotte Airport, Charlotte, NC

Presented by:

Michelle Matney, President

Ann Lambrix, Vice President of Client Services

Register Now

Do you want to take immediate, proven steps to collect more claim money, prevent many of most common claim
denials, and avoid 2nd denials?

In this session, you’ll take a close look at how more and more labs are employing data analytics in their billing process to unlock greater value from their lab data. Using actual examples, Vachette will share the proven techniques and best practices many of their clients are now using to decease denials, while at the same time making their denial management policies and practices far more efficient and effective.

G2 Lab Institute, Nov. 6-7, 2019 in Arlington, VA (50% Discount Available!)

Lab Revenue Strategy: A One, Three and Five-Year Outlook

Presented by:

Mick Raich, CEO and Owner

Register Now Using Discount Code “Vachette50” for 50% Off the Registration Fee!

This session will look billing and collections trends, governmental changes, PAMA, EKRA, managed care trends, industry trends, such as BitCoin and Amazon entering the market and the overall tasks that need to be performed to ensure your lab is moving forward in a profitable manner.

After this presentation, attendees will:

  • Understand the changes taking place in the government, such as PAMA and EKRA
  • Learn the basics of a lab revenue strategy
  • Know what to implement to be in front of the changes taking place

What You Need to Know to Protect Your Lab’s Revenue and Preserve Profitability

Dark Daily Webinar – Aug. 8 at 1 p.m., EDT

Presented by:

Mick Raich, CEO

Alex Mitchell, Quality Program Coordinator

Register Now

Among the most hotly anticipated announcements in the laboratory industry come every July, when the CMS releases its proposed Medicare Physician Fee Schedule. The projected rules update rates and policies applicable to Medicare physicians and other professionals under Medicare, and also include updates to Medicare rates and policies under Part B—as well as to the Quality Payment Program, which implements the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs).

This 90-minute webinar, including an interactive Q&A session, will provide the answers! You’ll come away with a keen understanding of how CMS is adjusting payments for particular services, as well as insights on both how your revenue may be impacted in the immediate future, and what changes you can make to best survive in this new environment—including a sample revenue projection illustrating how lab revenue can potentially be affected by the proposed changes to the MPFS.

You’ll also learn, as we look forward to year four of the QPP/MIPS program, how to fully prepare your lab for CMS to “remove the training wheels” and increase the overall reporting requirements necessary to avoid a Medicare payment penalty for poor performance. Attend and understand the specific steps that will be required in order to remain compliant with the QPP/MIPS program and avoid the potential 9% percent penalty to your revenue.

Presented by:

Mick Raich, CEO, Vachette, Sylvania, OH.

Trish Hankila, Vice President of Finance, South Bend Medical Foundation, South Bend, IN.

G2 Lab Leadership Summit, March 30, 2019 in Orlando

Red Flags: High-Risk Areas to Monitor When Conducting Internal Auditing

Vachette CEO Mick Raich will provide a breakdown of 50 common, mid-level and advanced billing errors, along with best-practices on how to prevent these mistakes.

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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