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Insurers Get Aggressive with Years-Old Audits

Private payers are following Medicare’s lead, reviewing lab payments made up to six years ago

CEO SUMMARY: Not only are health insurers looking back to find overpayments and funds paid erroneously, but payers also are requiring documentation for overpayments. If clinical labs and anatomic pathology groups do not appeal such claims quickly, they may be liable for any amount insurers deem to be overpayments, experts said. Health insurers also are …

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