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SC25: Coverage and Reimbursement for Advanced Diagnostics
TUESDAY, MARCH 3 | 6:30 - 9:30 PM
ABOUT THIS COURSE:
Market access for diagnostics developers is more complex and challenging than ever. New compliance requirements and payer demands for more detailed information compel companies/laboratories to be as good at communicating the value of their products as they are at developing them. We will discuss some of the intricacies and realities of proving long-term value to stakeholders including clinical data and real-world evidence on the benefits of testing.
TOPICS TO BE COVERED:
- Investigating the Background, Implications and Future Outlook of Medicare Reforms to the Clinical Laboratory Fee Schedule
- Development of the value proposition for commercial payers: Key evidence requirements
- Trends in laboratory benefits
- The role of national guidelines in establishing commercial payer coverage
- Know key decision points for optimization of your revenue cycle operations
- Strategically meet industry billing requirements head-on, while minimizing your costs and boosting your bottom-line
COURSE AGENDA:
6:00 pm Dinner Buffet
6:30 Course Welcome and Introductions
6:40 Latest Updates on Medicare Coverage: Local and National
Bruce Quinn, MD, PhD, Principal, Bruce Quinn Associates
7:10 How Do I Get a CPT Code and What are My Options?
Victoria Pratt, PhD, FACMG, Director, Pharmacogenomics and Molecular Genetics Laboratories, Medical and Molecular Genetics, Indiana University School of Medicine; President, Association of Molecular Pathology
7:45 Dessert Break
8:00 Payer Presentation Prep: Successful Strategies
Lon Castle, MD, CMO, Lab and Specialty Drug Services, eviCore healthcare
8:30 Healthcare Storytelling for Clinical Diagnostics – How to Do It…
Katherine Tynan, PhD, CEO, President, Tynan Consulting LLC
9:00 Q&A with Attendees and Speakers
9:30 Course Ends
