1. JVHL Updates MPAA January 2015

2. Laboratory News OIG 2015 Workplan : Independent Clinical Laboratories: Review of billing without having specified billing specifications at issue FDA Oversight of Laboratory Developed Tests : ACLA voices strong opposition during 2 day FDA public workshop

3. Lab News, (continued) Modifier 59 Alive and kicking Off-spring modifiers (XE, XS, XP, XU) should be used to describe higher level of specificity Drugs of Abuse 63 + CPTs remain unpriced; tests are drug-specific Continue to use 2014 codes G Codes created to replace deleted 2014 codes

4. Lab News, (continued) Medicare Incentives Reward Program & Provider Enrollment Focus on program integrity issues Don’t ignore or defer dealing with denials Scrutiny over percentages of denied claims, reasons for denials, length of time over which patterns develop, length of time provider has been enrolled in Medicare and “any other information CMS believes is relevant for that particular provider”

5. Lab News, continued High Deductibles in 2015 High deductible plan: $1300 for individuals, $2600 for families Average employer plan deductible in 2014: $1217 ($584 in 2006) Average patient cost-sharing increase 36% since 2012

6. JVHL News JVHL Laboratory Co-pay and Deductible Billing Solution

7. JVHL News Aetna JVHL passed 2013-2014 Aetna annual audit with perfect scores Community Cares Associates Community Cares Associates increased membership from 2,400 to 6,000 members HAP Midwest Health Plan HAP Midwest Health Plan members benefits include BRCA testing Harbor Health Plan of Michigan Harbor Health Plan of Michigan: agreement amended to include Medicare Advantage and commercial exchange product Meridian Meridian agreement will include Medicare/Medicaid dual: 4/1/15 Molina Molina agreement includes Medicare/Medicaid dual: 1/1/15

8. And, finally… JVHL’s new and improved website launch date: Monthly Satisfaction Surveys Monthly Meetings Shopping for venues Thank You!