As payors increase controls over reimbursements for genetic lab testing, labs are increasingly using genetic counselors as middlemen in lab test reimbursements, genetic counselors say.
PriorAuthNow's platform will be integrated with Xifin RPM 9's intelligent automation. According to Xifin, $31 billion is spent each year on prior authorizations.
Coming one year after LabCorp's acquisition of Mount Sinai's Clinical Outreach business, the new partnership will standardize lab operations at seven hospitals.
The insurer alleges the labs overbilled, double-billed, and billed for testing that was not performed through a scheme that involved kickbacks and misrepresentation.
Digital pathology has been relegated to research use only in many smaller labs, but an FDA approval last year, and more options targeted to them, may change that.
The deal also included the acquisition of Cascade Cytology Reference Laboratories, which provides cytology support to physicians in the Pacific Northwest.
Using an immunoassay as an initial screening tool saved approximately $36,000 over multiplex PCR panel use alone when performed in a period of high flu prevalence.
Quest, Humana, Multiplan, Optum, and UnitedHealthcare are launching a pilot program directed at data quality and administrative costs related to changes to healthcare provider demographic data.
Basel Batarseh was sentenced to 18 months in prison and fined $7,500 for his role in the scheme operated by the now-defunct Biodiagnostic Laboratory Services.
