Industry Insights
Stay up to date on the latest news in the laboratory industry. Subscribe to receive resources covering updates and insights into federal and commercial payers, reimbursement regulations, CMS coding adjustments, federal regulations and more.
Cigna Announces Rollback of Prior Authorization Requirements
Cigna has taken a significant step towards simplifying the healthcare process by eliminating prior authorization requirements for 25 medical procedure codes. This decision is in line with Cigna's ongoing efforts to enhance patient care and reduce administrative...
UnitedHealthcare’s Z-Code Requirement for Genetic Testing Claims Impacts Laboratories and Payers
UPDATE: 10/3/2023 UnitedHealthcare (UHC) has made a recent policy reversal regarding genetic testing laboratories' use of Z-codes for claims under commercial health plans. Initially, they postponed the enforcement date from August 1 to October 1, but they have since...
Why and How Your Lab Can Support SALSA
"With strong bipartisan and bicameral support of SALSA, Congress has the opportunity to fix the flawed PAMA framework and prevent reduced access to essential testing, stifled innovation, and weakened laboratory infrastructure essential to public health preparedness....
How Labs Are Affected by the End of the COVID-19 Public Health Emergency
The U.S Department of Health & Human Services released a fact sheet for the transition out of the COVID-19 Public Health Emergency that will end on May 11, 2023. Transitioning away from the emergency phase of the spread of the virus will affect the billing process...
Travel Allowance Fee Updates for 2023
Make sure your billing staff or third party billing company know about specimen collection fees and travel allowances for 2023 and other policy updates and reminders. Executive Summary CMS issued regulations to codify and modify policies on billing Medicare for...
Blogs
Maximizing Lab Billing Efficiency with Laboratory Modifiers
In the realm of medical laboratory billing and coding, laboratory services occupy a critical position. Accurate coding of laboratory tests is not only essential for ensuring proper reimbursement but...
Advantages of Laboratory Credentialing and Payer Network Status
As a laboratory billing company, we understand that the financial health of laboratories is intrinsically tied to their ability to navigate the complex world of healthcare billing. One key factor...
How Laboratories May Be Impacted During a Government Shutdown
All eyes of the nation are on Washington this week as the looming possibility of a government shutdown is poised to close big parts of the federal government at least temporarily—including many...
Understanding Physician Billing Guidelines for Laboratory Services
Billing for laboratory services is a crucial piece in the healthcare system that has only grown in complexity over the last decade. Trends such as labs shifting from COVID-19 and the rise of...
Why Patients Aren’t Paying Your Lab Tests and How to Fix It
The medical laboratory billing process is an essential piece in effectively managing and growing a laboratory. Without giving proper attention to setting up an efficient billing environment before...
Navigating the Eligibility Process in Laboratory Billing: A Comprehensive Guide
Determining patient eligibility for laboratory services has become a complex task for laboratories to handle as payer requirements shift constantly. Accurate eligibility verification ensures...