The secret to success in maximizing ROI lies in maximizing cost efficiency. As demand for genetic testing explodes, especially in fields such as oncology, neurology and obstetrics, special expertise is needed to avoid incorrect coding and billing, and to ensure that health care dollars are spent in the most efficient and clinically appropriate ways. This creates an environment favorable to affordable DNA tests and affordable genetic tests. InformedDNA is a leading provider of bulk genetic testing. Our Cost Management Solutions ensure clients can make informed decisions, manage utilization, control costs, and provide ideal patient/provider experiences — at scale.

How Our Cost Management Solutions Help Keep DNA Testing Affordable

Analysis of Claims Data

Claims data is assessed to look for areas of highest spend and determine which algorithms will reduce inappropriate spend.

Policy Analysis

Medical and reimbursement policies are analyzed to assess alignment with InformedDNA’s library of proprietary algorithms, which include medical necessity and code-based logic.

Claims Editing

Selected proprietary algorithms capture specific tests and determine which CPT codes on the claim should not be reimbursed, or should be reimbursed at a lower level.

Appeals Support (as Needed)

In addition to providing support documentation materials such as our rationales and reference documents, we offer access to our clinical expert team for support through the entire appeals process.

Let Us Help You Realize Your Savings Potential

Ordering bulk genetic testing has increasingly become more common. And because there are a limited number of genetic testing billing codes and widely varying lab billing practices, there is the potential for overpayment and inefficiencies. The goal is to keep DNA testing affordable and widely available. One important step toward the realization of that goal is to utilize the Cost Management Solutions pioneered by InformedDNA.