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Payers Asking for Repayment When Labs Waive Fees

Labs face audits, automatic pay reductions for failing to collect deductibles from patients

CEO SUMMARY: Health insurers appear to have stepped up their efforts to warn clinical laboratories not to waive patients’ fees in return for specimen referrals. Consultants also say that payers are increasing enforcement efforts. There are cases where, when insurers discover labs have not collected fees from patients, they have hit labs with automatic payment …

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