Billing News Mar 2019



Invitae Partners to Expand Free Epilepsy Genetic Testing Program

  • March 5, 2019

Molecular diagnostics company Invitae has partnered with BioMarin, Stoke Therapeutics, and Xenon Pharmaceuticals to expand its free genetic testing program for children with epilepsy. The Behind the Seizure program previously provided no-cost genetic testing for children ages two to four who had an unprovoked seizure. Invitae and its partners are...

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Biocept, Providence Saint Joseph's Health Center Collaborate on CSF Liquid Biopsy Testing

  • March 5, 2019

Biocept announced that it has partnered with Providence St. Joseph Health, Southern California, and its affiliates Saint John's Health Center and the John Wayne Cancer Institute, to evaluate usage of cerebral spinal fluid (CSF) in liquid biopsy testing for metastatic cancer. Target Selector liquid biopsy platform to test CSF samples from patients...

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BCBSKS Update – Medical Policies

  • March 5, 2019

The following medical policies have been published to the BCBSKS website. Please see the Revision section of the policy to identify changes. https://www.bcbsks.com/CustomerService/Providers/MedicalPolicies/policies.shtml Bone Mineral Density Studies Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or...

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CPT 87150 Reimbursement Change

  • March 5, 2019

Effective February 15, 2019, the Oklahoma Health Care Authority (OHCA) will only reimburse for CPT 87150 (culture typing; identification by nucleic acid [DNA or RNA] probe, amplified probe technique, per culture or isolate, each organism probed) in the outpatient hospital setting.  Please note: When this service is performed in the inpatient...

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New Family PACT Benefit for HPV Genotyping

  • March 5, 2019

Effective for dates of service on or after December 1, 2018, CPT code 87625 (infectious agent detection by nucleic acid [DNA or RNA]; Human Papillomavirus [HPV], types 16 and 18 only, includes type 45, if performed) is a new Family Planning, Access, Care and Treatment (Family PACT) Program benefit. CPT code 87625 is reimbursable with modifier 33...

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NHGRI Earmarks $7.3M for Human Genome Reference Program Projects

  • March 5, 2019

The National Human Genome Research Institute has earmarked nearly $7.3 million to fund a series of research projects over the next several years to advance its recently established Human Genome Reference Program (HGRP), which aims to build a human genome reference that better accounts for genetic diversity than the existing reference. In early...

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Regulators Look to Increase Interoperability and Patient Access to Health Data

  • March 5, 2019

CMS' Proposal: Interoperability and Patient Access Proposed Rule CMS released the Interoperability and Patient Access Proposed Rule on February 11th. This proposal aims to increase the level of access that patients have to the information they need to make informed, responsible health care decisions, including data about prices,...

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Medicare, Medicaid Spending Per Enrollee Slower Than Private Plans

  • March 5, 2019

Medicare and Medicaid spending saw significantly slower growth per enrollee than private payer expenditures over the last decade, a new report from the Urban Institute shows. The public payers may have experienced the fastest rate of spending growth from 2006 to 2017. But enrollment is largely to blame for the rise in Medicare and Medicaid...

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