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v1.2 – January 2024: This version contains clarifications to the coding algorithm, updated data, and implementation results. The previous version can be accessed here. Amidst the rapid growth in the genetic testing market, one persistent challenge has been ambiguity and inconsistency in how genetic test claims are coded. Variation in coding leads to administrative burden, […]
Genetic Test Coverage and Payment Guide for Medicare Advantage
A definitive guide to coverage and payment rules for laboratory services
A Coding Solution for Genetic Testing (v1.1)
A coding engine for accurate and consistent coding of genetic tests
A Coding Solution for Genetic Testing (v1.0)
A coding engine for accurate and consistent coding of genetic tests
Coding Variability in Genetic Testing
A summary of coding and pricing variation in commercial health insurance claims
The Current Landscape of Genetic Testing – 2018 Edition
Market growth, reimbursement trends, challenges and opportunities
The Current Landscape of Genetic Testing (2017 Update)
Market size, market growth and the practical challenges of the clinical workflow
A Guide to BRCA Testing for Health Plans
Data and insights on laboratory test pricing, clinical utility, medical policy and utilization management
An Analysis of Laboratory Billing Codes
in a rapidly evolving molecular diagnostics market
5 Key Items Health Plans Should Consider Before Issuing a Genetic Testing RFP
...and 10 sample questions to include in your next RFP for a better end result.
Widespread Use of MTHFR and Other Genetic Testing in the Medicare Population
A presentation at the American College of Medical Genetics 2016 annual meeting
The Current Landscape of Genetic Testing
Market size, market growth and the practical challenges of the clinical workflow