What Labs Need to Know About MolDX®
How the MolDX® program works, what it covers, and how it can support better test access, use, and reimbursement in the clinical lab
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Articles and Reports
Billing and Coding: The Secrets of Effective Queries
Formulating queries that are compliant, informative, and effective—even in tricky situations.
Billing and Coding: The Value of Clinical Validation
What clinical validation really means—and why every member of the laboratory should understand it.
How PAMA’s Effect in 2018 Molecular Diagnostic Reimbursement Will Make Labs More Money
By Sean McSweeney bio
The year 2018 is slated to be much brighter for molecular diagnostic labs as PAMA fee schedules show a higher payment rate and amount for many cancer genomics and…
PAMA-Geddon: Lab Industry Takes CMS to Court
From - G2 Compliance Advisor
The nearly three-year struggle between HHS and the lab industry over PAMA has entered a new phase. On December 11, the American Clinical Laboratory Association (ACLA) filed…
No One-Size-Fits-All Answer for Frequency of Billing and Coding Audits
From - G2 Compliance Advisor
The Office of Inspector General's Compliance Program Guidance for Clinical Laboratories includes among its seven elements for a comprehensive compliance program…
Don’t Overlook Free Resources When Preparing Your Laboratory for ICD-10
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The Art of Appeals: Don't Give Up Too quickly When a Payer Denies Your Claim
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Get Paid With Less Stress
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Ensure Regular training for Billing and Coding staff
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Whistleblowers Can Offer Statistical Sampling to Support Fraud Claims
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Device Maker Pays $2.8 Million to Settle False Claims Allegations
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