Date of Award

2024

Embargo Period

4-3-2024

Document Type

Dissertation

Degree Name

Doctor of Health Administration

Department

Health Administration

College

College of Health Professions

First Advisor

Daniel L. Brinton

Second Advisor

Kit N. Simpson

Third Advisor

Zahi R. Jurdi

Abstract

Objective: To quantify missed reimbursements associated with specific CPT codes for Laboratory Developed Tests (LDTs) via polymerase chain reaction (PCR) in the United States during 2021.

Study Design: Quantitative, retrospective observational study to identify the dollar amount of missed reimbursements associated with 19 specific CPT codes billed for Medicare patients who had LDTs performed via PCR in the United States in 2021.

Data Sources: 19 specific CPT codes from Medicare and Commercial patients with LDT PCR testing performed using 2021 Meridian MarketScan data.

Key Results: Medicare represented 1.7% of the sample size with a potential lost revenue of $1M where Medicare reimbursed higher per CPT code when claims were paid, but had a higher zero dollar payment rate when compared to Commercial claims for the same 19 CPT codes.

Rights

Copyright is held by the author. All rights reserved.

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