TAG:
claims denials
Revenue Concerns to Watch at Home and Abroad
This issue of The Dark Report explores…
RCM Automation Helps Lab Manage Billing Headaches
CEO SUMMARY: In an era where it is widely suspected that private payers are using artificial intelligence to review and deny diagnostic test claims, Southwest Labs in New Mexico decided to fight back. The organization worked with RCM firm Wuscott to figure out why claims w…
January 19, 2026, Intelligence: Late-Breaking Lab News
Entrepreneur Mark Cuban is calling for financial penalties to curb what he describes as systemic overbilling across the US healthcare system, a proposal that could significantly raise the stakes for insurers, hospitals, and clinical laboratories. In a provocative Dec. 24 post on X, Cuba…
Payers Request More Claims Documentation
CEO SUMMARY: Both anecdotal evidence from lab professionals and numbers-based data from XiFin point to a problem: More payers require clinical labs to produce more documentation that a test claim i…
Latest Lab Billing Trends Are AI, More Transparency
CEO SUMMARY: From predictive analytics to data curation to improved online payment options, the newest trends in billing allow clinical laboratories and anatomic pathology groups to boost their financial bottom lines without putting more pressure on patients. Technology is at the co…
CURRENT ISSUE
Volume XXXIII, No. 4 – March 23, 2026
A federal court ruling has established a safe harbor for clinical labs when they run tests ordered by physicians. Lab leaders should examine this briefing for pitfalls. Also, it turns out that providers may be ordering inappropriate vitamin D tests, according to one expert.
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