Genetic testing is one of the fastest growing segments in healthcare. There are more than 140,000 genetic testing products on the market, and 10-15 new tests are added each day. However, fewer than 400 billing codes exist to represent all these genetic tests. So, it is often impossible to tell what test a claim represents. Given these factors, it’s no surprise health plans experience:

  • Test prices and reimbursements that vary widely and sometimes rise well above relevant benchmarks

  • Difficulty distinguishing labs according to quality and value

  • Test orders out of policy or against available guidelines

  • Highly variant coding, especially for expensive multi-gene panels

Fortunately, Concert Genetics has a solution to bring order to the chaos.