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Using AI to Improve Reimbursement and Decrease Claim Denials

Using AI to Improve Reimbursement and Decrease Claim Denials

by Tara Cepull, MA | Sep 26, 2024 | Essential, Lab Industry Advisor, Reimbursement-lca

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

Private Payer Reimbursement for Genetic Testing Hinges on Clinical Utility

by Tara Cepull, MA | Sep 3, 2024 | Essential, Lab Industry Advisor, Reimbursement-lca

Two revenue cycle management experts offer tips for clinical labs to improve coverage decisions for genetic tests

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What Labs Need to Know About MolDX

What Labs Need to Know About MolDX

by Michael Schubert, PhD | Aug 30, 2024 | CMS-lca, Coding-lca, Essential, Lab Industry Advisor, Reimbursement-lca

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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CMS Slated to Close Change Healthcare Payment Program

CMS Slated to Close Change Healthcare Payment Program

by Centers for Medicare & Medicaid Services | Jun 21, 2024 | CMS-lca, CMS-lir, CMS-nir, Essential, Lab Industry Advisor, Reimbursement-lca, Reimbursement-lir, Reimbursement-nir

Program meant to ease cash flow disruptions experienced by some Medicare providers and suppliers due to the cyberattack will conclude in mid-July

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Understanding and Avoiding Compliance Errors

Understanding and Avoiding Compliance Errors

by Michael Schubert, PhD | May 1, 2024 | Compliance Guidance-lca, Compliance-lca, Enforcement-lca, Essential, Lab Industry Advisor, OIG-nir

Know where labs may fall foul of compliance requirements—and discover the actions your lab can take to mitigate the risk of noncompliance

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