Navigating Payer Requirements With Confidence
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Navigating Payer Requirements With Confidence
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In this episode of the “Leveraging the Laboratory” podcast, host Jane Hermansen, outreach manager at Mayo Clinic Laboratories, is joined by Rachael Hulshizer, director of Market Access Payer Innovation at Mayo Clinic Laboratories, to discuss payer policy and strategies for helping patients avoid unnecessary out-of-pocket costs for medically necessary testing. Together, they explore:
- Payer policy basics (01:33): Learn the key components of payer policies and how payers determine when a test is eligible for reimbursement.
- Best practices (04:44): Discover practical steps to ensure payers receive the information and details they need to support appropriate reimbursement for testing.
- Monitoring changes and responding to what you learn (06:00): Explore strategies for staying informed about payer policy changes and communicating updates across your organization to support appropriate test ordering.
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