Genetic Testing Approvals Made Easy: A Guide for Healthcare Professionals

Faster Prior Authorization for Genetic Testing

Why It Matters

• Prevents denials, delays & high costs for patients.
• 75%+ of claims require PA, often delaying treatment.

Steps to Secure PA Quickly

• Verify insurance coverage before testing.
• Submit strong medical necessity with research.
• Use correct CPT & ICD-10 codes to avoid denials.
• Follow insurer-preferred submission methods.
• Follow up in 5-7 days, escalate if delayed.

Common Challenges & Fixes

• Delays? Follow up & escalate if needed.
• Denials? Request peer-to-peer review.
• Unclear guidelines? Provide supporting research.
• Coding errors? Train staff on accurate coding.

Trends in Genetic Test Approvals

• AI automation speeds up approvals.
• More insurance coverage for genetic tests.
• Instant approvals reducing admin burden.

How Practolytics Helps

• Automates PA submissions & coding.
• Reduces denials & approval delays.
• Streamlines workflow for providers.

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