Managing Genetic Tests: Navigating Compliance and Avoiding Potholes

Sponsored by: Avalon Healthcare Solutions (registration to this event is strictly limited by the sponsor)

Genetic testing has revolutionized the medical field by offering personalized healthcare with unparalleled precision. Currently, over 175,000 genetic tests are available, and the number is increasing by ten each day. However, this raises the potential for fraud and abuse. The primary challenges for health plans are to ensure that their members receive the best possible care and that providers have the necessary tools and knowledge to make informed decisions. While managing costs effectively, plans must address provider awareness, reimbursement practices, and clinical evidence. Moreover, there is significant variability in the quality and usefulness of precision testing, and there is a need for more genetic test specificity that can’t be overlooked. Our expert speakers will discuss these challenges in detail and provide compliant approaches. We aim to improve payment accuracy, reduce waste, and deliver Laboratory savings.

Faculty

CDR Patrick Neubert
U.S. Public Health Service, Opioid Rapid Response Coordinator, U.S. Department of Health & Human Services, Office of Inspector General, Office of Investigations

Benion S. Horton, MD, MHA
Vice President, Senior Medical Director, Avalon Healthcare Solutions

Sarah Bretz
Product Manager, Avalon Healthcare Solutions 

Mike Synder
Executive Vice President of Provider Networks, Avalon Healthcare Solutions

Please note: This event is sponsored by Avalon Healthcare Solutions, an NHCAA Platinum Supporting Member. Registration is limited and determined by the sponsor, and NHCAA cannot circumvent or alter the sponsor’s registration policies. Registration from personal email addresses and some organizations are not permitted. Please accept our apologies if you are unable to register for this particular event, however, NHCAA does offer other educational programs. Please click here to view upcoming educational opportunities.