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Blog Posts by Author: Laura Spaulding

Pathology Clinical Consultations 2022 Code Additions

The 2022 changes to the CPT codebook include a makeover for the Pathology Clinical Consultation section, eliminating the 80500 and 80502 codes that have been in use since 1997. The CAP CPT Editorial Panel proposed a review of the 80500 and 80502 codes after a study identified these services as potentially misvalued in addition to noting discrepancies in code assignment and utilization. Discussion...

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The Remaining 20%: How Payor Policies and Specific Language Increase Success Rates of Appeals (Part 3)

This blog post is part three of the series. View part one. View part two. As we’ve covered statistically where our greatest challenges and opportunities lie, it’s important to recognize the appeal process is NOT a one-size-fits-all solution. Lesson 1: Report Documentation — “If it isn’t documented, it wasn’t billable” Appeals...

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