This is an elective module of the Biomarker Testing Navigation Certificate program. This online, interactive module dives into the essential financial and business aspects crucial for any biomarker testing laboratory. It explores vital topics like cost analysis, prior authorization workflows, accurate billing and reimbursement, and effective financial planning. The module also examines the impact of regulatory and payer changes on laboratory sustainability and equips participants with practical skills needed to ensure effective economic stewardship of biomarker testing services.
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Course topics include:
- Cost analysis of testing
- Prior authorization in biomarker testing
- Billing and reimbursement
- Budgeting and financial planning
- Regulatory and payer considerations
Target Audience
This activity has been designed to meet the educational needs of pathologists and laboratory professionals.
Learning Objectives
Upon completion of this activity, you will be able to:
- Analyze cost components of biomarker testing and identify optimization strategies.
- Explain the workflow and requirements for biomarker test prior authorization.
- Apply strategies to optimize biomarker test billing, reimbursement, and denial management.
- Describe the foundational components of budgeting and financial planning in laboratory management.
- Evaluate the impact of regulatory and payer changes on biomarker testing financial sustainability.
Faculty
Amanda Hanson, MS
Director, Precision Medicine
Spartanburg Regional Healthcare System
Spartanburg, SC
Faculty Disclosures
Amanda Hanson has no financial relationships to disclose.
Credit Designation Statement
ASCP designates this activity for a maximum of 1 CMLE credit. This activity meets CMP and state re-licensure requirements for laboratory personnel.
For questions regarding CMLE credit, please contact ASCP Customer Service at 1-800-267-2727, option 2, in the US & Canada or internationally at access code + 3-1-312-541-4890. Monday-Friday, 8am-5pm CT.
Method of Participation
To complete the activity and receive credit, the participant must participate in the online activity. CMLE certificates will be provided online.
Commercial Support
This activity is supported by a sponsorship from AstraZeneca.