CEO SUMMARY: Under guidelines the National Correct Coding Initiative issued last year, many clinical laboratories are not getting paid for some tests. The rates of denial for labs running mostly molecular tests could range from 40% to 100% of revenue, one billing expert said. Implemented Jan. 1, the guidelines apply to labs running tests in […]
Labs Get High Denial Rates Under New NCCI Rules
Billing expert says guidelines affect labs running molecular tests and assays requiring multiple steps
- By Joseph Burns
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- Tags: acla, american clinical laboratory, clinical lab, clinical laboratories, Clinical Laboratory, clinical labs, cpt, CPT® codes, gene test, genetic testing, genetic tests, genomic sequencing, lab billing, lab industry, lab test, lab testing, lab tests, laboratories, Medical laboratory, Medicare, MolDx, molecular pathology, molecular testing, molecular tests, private payer, procedure code, the laboratory, xifin
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