The proposed conversion factor is $33.08, a decrease of $1.53 to the 2022 PFS conversion factor of $34.61. Both pathology and independent laboratories are expected to see their overall allowed charges drop by -1%.
Letters from Cigna dated 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).
"Gone may be the days where one person who was more broadly trained could effectively advise whole laboratories comprehensively on what patients need and how to go about arranging that as an in-house offering," says Tara Luellen, Vice President of Lab Director Services.
When a client 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.
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 (RCM) arena and the winner will be the one who invests in AI quickest and maintains their edge in technology. We are just beginning to see this technology utilized, but several firms are already in the game.
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.
The time has come for a new mindset. No longer should pathology contracts be tied to a draconian Medicare fee schedule hurtling towards the lowest payment possible.
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.
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...
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