Z-Code transitions have become a requirement as of July 1st, 2018, but far too many labs are still behind on implementing them into their revenue cycle management (RCM) practices.Read More »
Laboratory Audits have a much harder impact on your lab than intended.Read More »
Today, laboratory billing claims require more and more data to successfully get paid.Read More »
In a press release on May 30, 2017, the Centers for Medicare & Medicaid Services (CMS) commented regarding their fraud prevention initiative program and their planned changes regarding Medicare beneficiary cards.Read More »
2018 has seen its fair share of changes for Laboratory Billing. However, Toxicology is not one of those areas.
In our experience, many labs stumble through the billing cycle, and toxicology is the perfect example of Murphy's Laboratory Law:
Murphy's (Laboratory) Law - Anything that can be denied...will be denied.Read More »
2018 is slated to be a much brighter year for molecular diagnostic labs as PAMA fee schedules show a higher payment rate and amount for many Cancer Genomics and Pharmacogenetics tests.Read More »
Across the nation, tensions are rising between labs and insurance companies over billing discrepancies.
The more labs try to get their claims processed the more payers will try to find ways to avoid paying, and it's escalated to the point of frequent lawsuits.Read More »
With every new change implemented in the laboratory billing field, it seems Blue Cross Blue Shield (BCBS) finds new, inventive ways to hinder the claims process.Read More »
Which Medicare MAC has the best laboratory reimbursement?
Apache Health often gets questions about which locality or which Medicare region (MAC) has the best reimbursement rates. Even a number of years ago some labs sought to locate in favorable reimbursement locations in order to maximize their reimbursement. None of that matters any longer.Read More »