White Papers

2023 Proposed Medicare PFS: See Impact to Pathology

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%.

Pathology Job Market Struggling to Meet Increasing Demand

"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.

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Artificial Intelligence: Payers vs Medical Billers Round One

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. 

AI influencing the battle between payers and medical billers

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

A new managed care strategy for pathologists

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.

2022 Proposed MPFS: See impact to pathology, labs

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.

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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