Webinar: Essential Guide to Obtaining Z-Codes for Molecular and Genetic Tests

Event Organizer: Dark Daily

Event Website: https://info.darkdaily.com/free-webinar-compliance-united-healthcare-z-codes-molecular-genetic-tests

Event Overview:

“Major changes are underway in how one of the nation’s largest health insurers will process claims for molecular and genetic tests!

Effective Aug. 1, 2023, UnitedHealthcare (UHC) will require Z-Codes for almost 250 CPT codes. Clinical laboratories have just a few weeks to understand this new policy and apply for the Z-Codes they need to comply with this new directive.

This can be a significant financial disruption to those clinical labs billing UnitedHealthcare, but whose molecular and genetic tests currently do not have the Z-Codes required for the claims they submit after Aug 1.

The threat of financial disruption may extend beyond UHC. Knowledgeable observers expect other major health insurance companies—such as Elevance (formerly Anthem), Cigna, Aetna, and Humana—to enact similar Z-Code requirements. This is what happened with private payers’ adoption of prior-authorization programs in 2018.

The announcement of UHC’s new policy was sent to providers on May 2 and gives genetic testing companies just weeks to apply for Z-Codes. Molecular test claims submitted on or after Aug. 1 will not be paid. There is urgency for labs that need Z-Codes to take immediate steps to submit their applications and supporting documentation to obtain Z-Codes between now and the Aug. 1 implementation of the Z-Code requirement.

To help you and your lab team navigate the Z-Code application process, DarkDaily is presenting a special webinar on Thursday, June 29, 2023, at 1:00 PM Eastern, titled, ‘Essential Guide to Obtaining Z-Codes for Molecular and Genetic Tests.'”

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