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CodeMap® Compliance Briefing: January 28, 2021
Editor's Welcome:
Today, we will discuss four claims submission practices that may expose a clinical laboratory to significant risk and subsequent liability. As will be explained with examples and recent enforcement actions, these practices violate coding conventions, Medicare claims submission rules, and the Civil False Claims Act. This CodeMap® Compliance Briefing warns all clinical laboratories to avoid unbundling, upcoding, submitting claims for tests not covered by Medicare, and using inaccurate or misleading codes to report testing. As always, please send us your questions, comments, and suggestions to us via email.
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