Using AI to Improve Reimbursement and Decrease Claim Denials
Though payers’ adoption of AI has made reimbursement more challenging for labs, providers can also use AI to address these issues
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Private Payer Reimbursement for Genetic Testing Hinges on Clinical Utility
Two revenue cycle management experts offer tips for clinical labs to improve coverage decisions for genetic tests
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
Kentucky Pain Clinic Pays $127K to Settle Specimen Validity Test Billing Claims
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Three key items to negotiate for successful payer contracts
By Steve Selbst bio
The purpose of this article is to help you, as a provider, to focus on three key items to look for in payer contracts that will help you to get profitable contracts in place…
PAMAgeddon: GAO Official Acknowledges Flaws in Lab Price Report as a Powerful Senator Enters the Scene
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How to Determine Date of Service for Part B Billing of Outpatient Lab Tests
From - Lab Compliance Advisor
Date of service rules affect whether outpatient lab tests are part of the Hospital Outpatient Prospective Payment System (HOPPS) bundled payment or…
Medicare Reimbursement: CMS Limits NGS Early Cancer Test Coverage but Industry Fires Back
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Billing & Coding: Pathology Group Asks CMS to Raise Medicare Prices for BRCA1/2 Sequencing Tests
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Medicare Reimbursement: CMS Provides Needed PAMA Relief—But Newly Covered Hospital Labs Must Report in 2019
From - Lab Compliance Advisor
The battle between CMS and the lab industry over Medicare Part B pricing for lab tests could be on the road to…
Correction: PAMA Relief—CMS 1450 14x TOB Labs DO Count!
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Reimbursement Trends: Part B Medicare Lab Payments Up Slightly in 2017
From - G2 Compliance Advisor
According to a new OIG report, Clinical Laboratory Fee Schedule payments for lab tests in…
PAMA: OIG Backing of CMS Heats Up Market-Based Lab Rates Controversy
From - G2 Compliance Advisor
CMS did it right and saved Medicare a boatload of money in the process, concludes a new OIG report reviewing the methods CMS used to establish…