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toxicology

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    Wiki Downcoding Lab Services

    We are an independent lab. Humana and Cigna now have policies in place that they will not reimburse any higher than a G0480 tox for Humana and a G0481 tox for Cigna. What Cigna does is downcode when they reimburse and Humana pays the higher tests than recoups a couple months later and we have to...
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    Wiki 2016 Medicare Tier Pricing/ Other Insurances

    I am trying to find out what insurances have decided to follow CMS and their Tier Pricing for 2016? I have spent the past few days contacting insurances, however most of them are either clueless, or just tell me that they're not making any changes "as of yet" After a nightmare in 2015 with...
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