Our Solutions
Enhance diagnostics with genetic testing solutions.
With tests, evidence, clinical guidelines, and codes rapidly changing in the diagnostics space, how can you be sure that you’re effectively managing your diagnostic testing payment accuracy process?
Lyric simplifies the payment accuracy of your laboratory and genetic testing claims with the new Diagnostic Module, via our expanded partnership with Concert.
Dive deeper and listen to an engaging webinar about this rapidly evolving field.
“Genetic Tests and Payment Accuracy: Charting the Course for Smarter Claims Management”
Our Approach
Diagnostics Module Package Options
Our Diagnostics Module provides insight into the type of tests represented by complex, multi-code claims and returns precise payment instructions backed up by evidence and coding rules. The result is reduced medical costs, greater administrative efficiencies, low provider abrasion, and more consistent payment decisions for members and laboratories.
175,000 genetic testing products
800 billing codes
2,200,000 unique code combinations
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These edits apply standards derived from CPT® code book, American Medical Association guidance, National Correct Coding Initiative, and other authoritative sources.
Concert maps these standards to the tests in the market for transparency and enforceable policy. When you issue a simple payment policy to require lab adherence to these coding standards, the edits are delivered through CXT, and will identify claims with errors and violations.
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This package includes all the benefits from Package 1 plus evidence-based clinical criteria and claim editing from Concert’s machine-readable medical policy. The plan adopts Concert’s medical policies, and edits are delivered through CXT. Policies and their corresponding edits are updated to stay synchronized and keep up with the market.
