Pivot With The Payers
Unfortunately updates in different sectors of the laboratory environment can be released, updated, and pivot really quickly. You need to be able to adapt quickly to avoid exposure. We provide quarterly updates, triaged for significance directly to our clients to help them stay up to date as well as ahead of the changes.
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Market focused actionable intelligence with the support needed to take action.
How the service works
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We monitor coverage policies from the payers that matter in your market, including Medicare LCDs and major commercial plans
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Each quarter you receive a triaged report: red for changes that affect billing now, yellow for upcoming changes, green for no action
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Every flagged change includes the affected CPT codes, effective date and recommended next step
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Optional working session with your billing and lab leadership to implement changes
Frequently asked questions
Which payers do you monitor? Medicare and the commercial and Medicaid plans most common in your service area, chosen with you at setup.
How often are updates delivered? Quarterly, with out-of-cycle alerts when a high-impact change is announced.
Does this replace our billing vendor? No. It gives your team and your billing vendor a clear, prioritized list of policy changes to act on.
Want quarterly payer policy updates for your lab? Book a 1-hour consultation or call 517-375-2670.