Hayes, Inc. Readies Customers for Implementation of New CPT Codes

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Evidence reviews to be available for each new code

Hayes, Inc. is committed to ensuring that their clients are prepared for the implementation of new CPT codes for molecular diagnostic testing. These new codes, developed by the CPT® Editorial Panel Molecular Pathology Coding Workgroup for the American Medical Association, are scheduled for implementation in January 2012. The Hayes Genetic Test Evaluation (GTE) Program is working proactively to ensure that evidence reviews are available for each of the tests or disorders covered by the new codes.

“We have completed a comprehensive review of the proposed code list and determined that the Hayes GTE Program currently has reports covering 71 of the 170 proposed codes,” says Dr. Diane Allingham-Hawkins, director of the Hayes Genetic Test Evaluation Program. “We estimate that we can address these remaining codes with 49 additional topics in our GTE Index.”

Hayes Genetic Test Evaluation reports are evidence-based health technology assessments of genetic tests across a range of conditions and applications. Each report provides a clear, objective view of the science behind a specific genetic test, the clinical evidence supporting the test, and the use of the test in clinical practice. These reports can help to guide decisions about whether a hospital should develop or contract for specific genetic tests, based on the clinical value of the test, appropriate patient selection criteria, and the likelihood of reimbursement for each type of test. The reports also can support the development of defensible, transparent coverage policies that are based on evidence of analytical validity, clinical validity, and clinical utility of the test, as well as appropriate patient selection criteria.

Hayes, Inc. is a woman-owned health technology research and consulting company dedicated to promoting better health outcomes through the use of evidence. Hayes evaluates new, emerging, and controversial health technologies to determine clinical effectiveness, safety, and impact on healthcare quality, utilization, clinical outcomes, and cost. Hayes’ worldwide clients include hospitals, healthcare systems, government agencies, employers, and managed care organizations.

For more information about Hayes, Inc. and its products and services, visit http://www.hayesinc.com. Or, contact Hayes, Inc. by mail at 157 S. Broad Street, Lansdale, PA 19446; by telephone at 215.855.0615; by e-mail at kmatthias(at)hayesinc(dot)com; or by fax at 215.855.5218.

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Karen Matthias
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