payor coverage
MedPAC Exploring Simpler Ways for Labs to Report PAMA Data
The third-party consulting group used for the analysis recommended using a survey to set Medicare payment rates to reduce the reporting burden on laboratories.
New AMP Survey Reports Insufficient Reimbursement for Analysis, Interpretation of MDx Test Results
The survey found analysis, interpretation, and reporting requirements can take more than six hours per test but that reimbursement for tests doesn't account for this work.
CMS Releases New Guidance Requiring Payors to Cover COVID-19 Testing Without Cost Sharing
The guidance says private health plans can't use medical screening criteria to deny coverage for COVID-19 diagnostic tests for asymptomatic patients.
Bio-Techne Obtains Reimbursement Contract With Humana for Exosome Diagnostics Prostate Biopsy Test
Bio-Techne's CEO said the coverage decision will expand access to its EPI test and enable additional men to better decide whether to proceed with a prostate biopsy.
German Medical Center to Report Polygenic Risk Scores as Part of Clinical Whole-Genome Testing
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Under the Ge-Med project, University Hospital Tübingen will offer diagnostic whole-genome sequencing for all genetic indications and will include PRS in its reporting.