Genetic Testing Claims Guide for Health Plans
Thirty percent of genetic testing claims are coded inaccurately—and this can lead to higher-than-necessary genetic claims costs. Yet most payers aren’t aware they are paying more for genetic testing than they should.
How does this happen? Typically, overbilling, or overpayment, can occur when:
- Payers’ claims systems can’t identify the actual test performed;
- Codes, or unit counts of codes, are inappropriate to bill for the specific test;
- Non-covered tests are billed and paid;
- Allowed amounts vary 10-20X for the same test.
The result: significant expense that could be avoided with the right genetic claims editing approach in place.
Learn four practical strategies for reducing unnecessary genetic test claims payments – download our new guide paper: “Eliminating the Hidden Costs of Genetic Testing Claims.”
We hope you’ll find these best practices insightful. Questions on overcoming genetic test claims payment challenges? Contact us to continue the conversation – just use the form below or call us: 800-975-4819.