Medicare Coverage Intelligence Suite
Three connected systems that track Medicare coverage policy for molecular diagnostic tests and map a predictable path to reimbursement.
Why it needed to exist.
Molecular diagnostics labs live or die on Medicare coverage. MolDX policy shifts across jurisdictions, and tracking it by hand is slow and error-prone.
The engineering.
Coverage Policy Radar
Monitors Medicare coverage policy changes relevant to molecular diagnostic tests.
Coverage Intelligence layer
Structures and cross-references policy data so it can be queried and compared.
Predictable Reimbursement Path engine
Maps the route from a test to coverage and reimbursement.
The system, end to end.
What it does.
Policy change monitoring
Watches Medicare coverage policy for changes that affect molecular diagnostic tests.
Structured policy data
Policy is structured and cross-referenced, so it can be queried and compared.
Reimbursement path mapping
Maps how a test gets from policy to coverage to reimbursement.
Built with.
- CMS Coverage API
- Validated across five MolDX jurisdictions against the live CMS Coverage API.
The services behind it.
Algorithm Development & Data Systems
Pricing engines, routing, scoring, and forecasting for real business decisions.
▤Business Software & Internal Tools
CRMs, dispatch boards, quoting, and dashboards, built for how you run.
⇄Automations & Integrations
Connect Stripe, Calendly, Google, your CRM, and accounting into one flow.
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