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How Labs, Pathologists Should Prepare for Payer Audits

Healthcare attorney notes that many audits stem from concerns over a test’s medical necessity

PAYER AUDITS ARE ON THE RISE, AND CLINICAL LABORATORIES AND PATHOLOGY PRACTICES THAT ARE NOT ADEQUATELY PREPARED could face millions of dollars in unexpected recoupment demands. That’s the word from Jane Pine Wood, JD, a healthcare attorney with McDonald Hopkins, LLC, who has found herself going to bat for labs that failed to respond to […]

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