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Medicare Pays 500% More for Molecular Test Claims

In some states between 2018 and 2019, Medicare paid 500% to 700% more for some genetic tests

CEO SUMMARY: Rapid growth in what Medicare spent forĀ molecular tests in recent years may lead federal investigatorsĀ to increase scrutiny of fraudulent billing for clinical laboratoryĀ and molecular pathology tests, according to a lab consultantĀ who has tracked such spending in recent years. Data show thatĀ Medicare spending for these tests rose sharply since 2017, andĀ that in some Medicare …

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