Health Care Infrastructure for Financially Sustainable Clinical Genomics.

ABSTRACT: Next-generation sequencing has evolved technically and economically into the method of choice for interrogating the genome in cancer and inherited disorders. The introduction of procedural code sets for whole-exome and genome sequencing is a milestone toward financially sustainable clinical implementation; however, achieving reimbursement is currently a major challenge. As part of a prospective quality-improvement initiative to implement the new code sets, we adopted Agile, a development methodology originally devised in software development. We implemented eight functionally distinct modules (request review, cost estimation, preauthorization, accessioning, prebilling, testing, reporting, and reimbursement consultation) and obtained feedback via an anonymous survey. We managed 50 clinical

SUBMITTER: Lennerz JK 

PROVIDER: S-EPMC5397703 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature