Category: For Laboratories
Discover the latest news, trends, and best practices in revenue cycle management for lab and diagnostic providers, including coding, billing, and collections.
Biodesix
“By outsourcing our billing to Quadax, we were able to focus on our clinical mission—helping providers offer a personalized approach to cancer care for patients facing lung cancer.”
For its lab tests, Biodesix found that payers often required validation in the form of prior authorization, medical records and more—but often after the claim had been submitted. They sought a better way.
Biodesix partnered with Quadax and working collaboratively, developed a custom database specific to Biodesix, utilizing payer information from over 800 payers and designing workflows specific to their needs. The result? Fewer denials and greater efficiency.
Potential New CMS COVID-19 Testing Policies & Pricing on the Horizon?
Examine COVID Claims to Find RCM Weaknesses in Your Lab
New CMS Rule Attempts to Alleviate the Prior Authorization Burden
New COVID-19 Testing Price Transparency Requirements Effective Immediately
Government Takes Action to Ensure Coverage of COVID-19 Vaccine
COVID-19 Testing Payments and Regulations: What Labs Need to Know
How to Bill for Medicare Add-On Payment for COVID-19 Diagnostic Tests
Larger Payments for Labs Producing Faster COVID-19 Results
CMS incentivizes labs to complete high throughput COVID-19 tests quicker
The Centers for Medicare and Medicaid Services (CMS) recently announced starting January 1, 2021, Medicare will pay $100 to laboratories that complete high throughput COVID-19 diagnostic tests within two calendar days of the specimen being collected. Also effective January 1, 2021, for laboratories that take longer than two days to complete these tests, Medicare will pay $75.