{"id":757,"date":"2021-06-09T15:48:27","date_gmt":"2021-06-09T15:48:27","guid":{"rendered":"https:\/\/www.concert.co\/concert-genetics-earns-automating-genetic-test-coverage-and-payment-accuracy\/"},"modified":"2024-04-18T21:03:00","modified_gmt":"2024-04-18T21:03:00","slug":"concert-genetics-earns-automating-genetic-test-coverage-and-payment-accuracy","status":"publish","type":"post","link":"https:\/\/www.concert.co\/blog\/concert-genetics-earns-automating-genetic-test-coverage-and-payment-accuracy\/","title":{"rendered":"Press Release:<br> Concert Genetics Earns Patent for Innovative Methods of Automating Genetic Test Coverage and Payment Accuracy"},"content":{"rendered":"<div class=\"s1\">Concert links 160,000 genetic tests to coverage criteria, automates accurate payment, and supports high-value clinical test ordering<\/div>\n<p class=\"body-md\"><strong>NASHVILLE, Tenn. (June 9, 2021)<\/strong> \u2013 The U.S. Patent and Trademark Office has issued Concert Genetics patent\u00a0<a href=\"https:\/\/patentimages.storage.googleapis.com\/73\/23\/dd\/1b3b1a8eb35c2b\/US10896405.pdf\" target=\"_blank\" rel=\"noopener\">US10,896,405B1<\/a> for innovative methods that enable real-time coverage determination and accurate reimbursement of genetic tests, the company announced today.<\/p>\n<p class=\"body-md\">As the patent describes, Concert\u2019s system converts health plan medical policies, typically text documents, into machine-readable criteria, and then links the criteria to every genetic test on the market. This system leverages Concert\u2019s platform for collecting, standardizing and organizing genetic test information, represented in patent <a href=\"https:\/\/patentimages.storage.googleapis.com\/c5\/0f\/90\/29cc5bfb43dd61\/US10223501.pdf\" target=\"_blank\" rel=\"noopener\">US10,223,501B1<\/a>. By improving the speed and accuracy of coverage and payment decisions, the capability ultimately shortens the patient\u2019s path to clinically appropriate testing.<\/p>\n<p class=\"body-md\">\u201cAt Concert, we are driving toward the day when coverage determination is instantaneous, accurate payment is automatic, and manual claim review is unnecessary\u201d said Rob Metcalf, CEO of Concert Genetics. \u201cToday, confusion about genetic test coverage and reimbursement leads to burdensome, manual processes that waste time and deliver inconsistent results. Concert can eliminate that confusion and help make cost-effective precision medicine a reality.\u201d<\/p>\n<p class=\"body-md\">Effective immediately, Concert\u2019s new capabilities will enable more accurate payment of genetic tests for customers of Concert\u2019s real-time claim edits. In addition, they will provide better coverage information in the clinical test selection and ordering process.<\/p>\n<p class=\"body-md\">\u201cTo support high-value, clinically appropriate genetic test ordering, the optimal place to deliver this information is upstream, at the point of care,\u201d said Gillian Hooker, PhD, ScM, LCGC, Concert\u2019s Chief Scientific Officer and immediate Past President of the National Society of Genetic Counselors. \u201cIn addition to using these new capabilities to enable accurate reimbursement, we have also begun building them into the clinical test ordering workflow so that providers and patients can determine with confidence whether or not a genetic test will be covered \u201d<\/p>\n<p class=\"body-md\">A more complete overview of the data and digital infrastructure needed to deliver precision medicine at scale is available in a commentary published by Dr. Hooker earlier this year in American Journal of Medical Genetics entitled \u201c<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/ajmg.c.31881\">Building an infrastructure to enable delivery of genomic medicine<\/a>.\u201d<\/p>\n<p class=\"body-md\">###<\/p>\n<p class=\"body-md\"><strong>About Concert Genetics<\/strong><\/p>\n<p class=\"body-md\">Concert Genetics is a software and managed services company that promotes health by providing the digital infrastructure for reliable and efficient management of genetic testing and precision medicine. Concert\u2019s genetic testing management capabilities leverage a proprietary database of the U.S. clinical genetic testing market, market-leading expertise, and a technology platform that supports genetic test ordering, resulting, coding, coverage, and payment integrity. Learn more at www.concertgenetics.com.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Concert links 160,000 genetic tests to coverage criteria, automates accurate payment, and supports high-value clinical test ordering NASHVILLE, Tenn. (June 9, 2021) \u2013 The U.S. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[],"class_list":["post-757","post","type-post","status-publish","format-standard","hentry","category-other"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Press Release: Concert Genetics Earns Patent for Innovative Methods of Automating Genetic Test Coverage and Payment Accuracy - Concert<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.concert.co\/blog\/concert-genetics-earns-automating-genetic-test-coverage-and-payment-accuracy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Press Release: Concert Genetics Earns Patent for Innovative Methods of Automating Genetic Test Coverage and Payment Accuracy - Concert\" \/>\n<meta property=\"og:description\" content=\"Concert links 160,000 genetic tests to coverage criteria, automates accurate payment, and supports high-value clinical test ordering NASHVILLE, Tenn. 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