Private Payer: Aetna Accreditation Requirement for In-Office Surgical Pathology


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Topic Private Payer: Aetna Accreditation Requirement for In-Office Surgical Pathology
Background Aetna is requiring all participating providers who perform in-office surgical pathology testing to be accredited by CLIA and at least one other accrediting entity. Dermatologists are exempt from this requirement.
Regulating Body Aetna website
Compliance Date 4/1/2013
Consequences Physicians providing in-office surgical pathology who do not obtain the required accreditation will have their claims denied for payment.
Next Steps ​Physicians who need to obtain accreditation should contact one of the following accrediting entities: College of American Pathologists (CAP), American Osteopathic Association/HFAP, or The Joint Commission.
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