Blogs

Medicare’s Clinical Laboratory Fee Schedule (CLFS) resets on January 1, 2027. Under the Consolidated Appropriations Act, 2026, signed February 3, 2026, labs reported private payor rates from January 1 to

UnitedHealthcare is tightening its grip on toxicology labs in Florida, and Modifier 91 has become a major red flag. The rule itself isn’t new; it’s meant for legitimate same-day repeat

Arkansas HB 1297 never became law. It was withdrawn in April 2025, but its ripple effects are still being felt in lab billing circles today. The bill would have barred

Karyotyping billing is complex because claims often stack multiple CPT codes—tissue culture, chromosome analysis, add-ons, and interpretation—each requiring separate documentation. The core chromosome analysis codes 88262 and 88264 are not

Indiana labs are caught in a 2026 squeeze: WPS GHA’s MolDX LCDs demand precise Z‑Codes and diagnosis crosswalks, while commercial and Medicare Advantage plans route claims through aggressive LBMs like

Nebraska’s anatomic pathology billing law creates strict challenges: physicians must disclose the performing lab’s name, address, and exact amount paid on every patient bill. Many practices mistakenly bundle charges or