Medicare Advantage Laboratory Testing: The Hidden Crisis Restricting Patient Care

It is becoming clear that Medicare Advantage (MA) plans are systematically limiting access to laboratory testing through prior authorization requirements, creating a two-tiered healthcare system where beneficiaries face barriers that traditional Medicare patients never encounter. Prior authorization barriers create diagnostic delays, and the scope of this problem has exploded over the past decade. What

2025-07-24T16:25:49-04:00

Understanding Primary Diagnosis Codes and Their Impact on Claim Denials

At Aculabs, we understand how crucial accurate diagnosis coding is to the success of claims submission and timely reimbursement. Unfortunately, we are seeing an increasing number of claim denials from payors due to the use of "invalid" primary diagnosis codes. What Are Invalid Primary Diagnosis Codes? An "invalid" primary diagnosis code typically refers to one that

2025-07-24T16:26:23-04:00
Go to Top