payor coverage
Biocept HER2 Assay Gains Coverage Under Medicare Local Coverage Determination for CTC Tests
Under the LCD, CTC assays, such as Biocept's, will now be covered to guide targeted treatment decisions for patients with breast and other cancers under certain circumstances.
The company previously launched its Concert Coding Engine to help standardize how genetic tests are coded and how labs can bill for them.
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.