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Blue Card

Discussion in 'GI Path' started by Anonymous, Jan 9, 2013 at 10:19 PM.

  1. Anonymous

    Anonymous Guest

    How is your lab getting around this ?????
     
  2. Anonymous

    Anonymous Guest

    We are not getting around this. It is killing us and we are taking a huge hit on 88305 TC reductions and Blue Card. Writing off lots.................
    Layoffs and folks looking to leave.
     
  3. Anonymous

    Anonymous Guest

    The only way to "get around" it is to convince each Blues plan that your services are medically necessary AND unavailable from any of their currently contracted labs. You don't do that, you aren't going to be in-network.

    Speaking as the eprsonat one of those Blues plans that's hearing from dozens of you labs, I can say that I'm turning away all of you, as I have yet to see any lab offering necessary testing that can't be offered by LabCorp, Quest, Myriad, and Genomic Health combined.

    Why do you think we started enforcing that BlueCard rule in the first place? We were sick of labs doing unnecessary, expensive testing and never having to justify their behavior to us as the Plan (and members) that ultimately had to pay your bills.

    It's a brave new world - best to go find employment with a lab that knows how to justify its value to the payers...