Medical Necessity: Challenges for Labs and Beyond
Speaker:
Michael Astion, MD, PhD, Chief of Laboratory Medicine and Pathology, Seattle Children's Hospital, Professor, University of Washington Dept. of Laboratory Medicine and Pathology
Contact Hours:
1.0
Date:
February 01, 2025 - February 28, 2027
Description:
Discussion of the background and challenges associated with medical necessity policies for laboratory tests. While foundational to the laboratory payment system in the US, problems with medical necessity policies affect patients, labs, physicians and insurers.
Learning Objectives:
- Compare and contrast the perspective of patients, clinical laboratories, physicians and insurers regarding medical necessity policies for laboratory tests.
- List 3 challenges of medical necessity policies that affect patients.
- From the patient perspective, describe three ways to improve medical necessity policies or insurance claims coding.