Industry Insights
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
UnitedHealthcare's (UHC) recent announcement that it will require the use of Palmetto GBA's DEX Z-codes for molecular diagnostic test services on facility and professional claims starting August 1, 2023, has triggered responses from genetic testing laboratories across...
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
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...
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...
Choosing the Right Outsourced Laboratory Billing Vendor: Key Considerations
Laboratory stakeholder’s face numerous challenges both starting and managing their labs, including finding an efficient billing and revenue cycle management solution. Outsourcing laboratory billing...
Navigating the No Surprises Act in the Clinical Laboratory Space
It has been a year since the federal No Surprises Act was passed on January 1, 2022 in an effort to prevent patients across the country from receiving unexpected medical bills in their mailbox....