How to Get Paid for Molecular & Genetic Testing: MolDx, Prior Authorization, and Payer Strategies

Description: Getting paid for molecular and genetic testing shouldn’t feel impossible, but with MolDx rules, payer-specific utilization policies, and prior authorization hurdles, reimbursement can quickly become a maze. In this on-demand webinar recorded in late October 2025, reimbursement and policy experts Ann Lambrix (Executive Director of RCM Solutions at Lighthouse Lab Services) and Tara Cepull (Industry Status and Outreach Advisor at Quadax) break down what labs need to know to stay compliant and get paid accurately. Jump to: 00:00 – Introduction and speaker backgrounds 04:45 – History of MolDx and challenges in molecular & genetic test reimbursement 13:55 – Understanding the difference between MolDx and DEX 15:35 – Dealing with claim denials 20:30 – Tips to avoid denials 24:25 – Clarifying the approach to molecular reimbursement and what's possible now 31:02 – The impact of prior authorization requirements 37:00 – Complying with prior authorization 41:30 – The growth of MolDx and similar payer programs 52:40 – Q&A Real-world examples, appeals strategies, and Q&A from your peers in molecular and genetic testing. 👉 Want help improving your lab’s reimbursement outcomes? Contact us here for a complimentary consultation: www.lighthouselabservices.com/contact-form