MolDxOlogy Meets DomainOlogy - Multiple Routes to MolDx Tech Assessments

By using Google, I stumbled on two separate websites for MolDx tech assessments.   They look similar, so at a glance, it is almost as if one is "phishing" or "spoofing" the other.  But they're not the same.

MEDICARE MOLDX

The Medicare MolDx website is here:

https://www.palmettogba.com/moldx

Note that the core domain is "palmettogba.com."   

It looks like this:

For example, in a green box in the middle, you click on Tech Assessment, and it takes you to a second webpage with several links provided (here).  One of the options is Tech Assessment Forms, last updated 7-17-2024.  Click on that, and you get to this webpage with about 15 forms.

https://www.palmettogba.com/palmetto/moldxv2.nsf/DIDC/TJ4XC2M5IX~Technical%20Assessment

Now, let's  start over and go back to the Palmetto.com MolDx home page.

This has a box stating, "Important Update" and saying to get a Z code, go to the Z code registry.  OK, that's been the case for several yearsa.  But there is also a fine print remark that says,

If you are a provider not billing for Medicare services within the MolDX Jurisdictions, go to the DEX® Diagnostics Exchange website for information.

Click on that, and you go here:

https://palmettogba.com/palmetto/dex.nsf

Note that this is still palmettogba.com.

If you click HERE on tech assessments, you come to this page:

https://palmettogba.com/palmetto/dex.nsf/DIDC/UMPUJNFSV0~Technical%20Assessment

But it's not the same!  

First, it has about five  extra forms (such as Genome and such as Prenatal Carrier Screening.)  

And, the top form, the Checklist, has the same name as we saw before (GEN CQD 003) but it is a different version (v3) and has a different update date (now updated 10/17/2024).   So Palmetto is creating the same forms with same code names but different versions on different websites.

Further, while I just screen-shot the DEX TA commercial forms as  on a palmettogba.com link (above), there is also the same page under the domain of DEXZCODES.COM:

https://www.dexzcodes.com/palmetto/dex.nsf/DID/UMPUJNFSV0

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There are other links between Palmetto Medicare MolDx.   For example,  the top link in this blog (the Palmetto Medicare Moldx link) has a notice, dated 5/2023, that CMS billing and coding articles with lists of tests and services, "are in the process of being removed" and "coverage criteria can readily be found in the DEX registry."   However, one difference, which might be important in some contexts, is that the CMS coding articles are archived by change date and list updates, and are public access, while the DEX require email registration to access behind a firewall and materials are copyrighted.  In contrast, for Medicare Advantage plans, CMS requires MA coverage criteria to be open access and specifically not require a personal tracking email on each entrance.

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