Blogs

Payers don’t pay labs just because a claim shows up. They check the CLIA number first against the certificate, the test complexity, the expiration date. If anything’s off, payment stops.

Louisiana labs face a tough billing landscape where state law §37:1742 flatly bans physicians who didn’t perform or supervise anatomic pathology services from billing, a far stricter rule than the

Washington MCED reimbursement remains an emerging space with no immediate coverage. The federal Nancy Gardner Sewell Act, signed February 2026, creates a Medicare benefit pathway beginning in 2028, but only

Massachusetts labs often discover that enrolling with MassHealth doesn’t automatically grant in-network status with ACOs like Tufts Health Plan or Fallon Health. This two‑track credentialing process, separate ancillary provider applications,

Multi‑state labs billing Medicare from Oklahoma must navigate strict Novitas Jurisdiction H rules, where a single mistake, such as incorrect POS 81 coding, missing or misapplied modifier 90, or mismatched CLIA

Getting your lab credentialed with KanCare shouldn’t be a big challenge. But it’s a major concern for a lot of Kansas labs right now. Between a state portal, three separate