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CodeMap® Compliance Briefing: 6/22/07


Editor's Welcome:

In past CodeMap Compliance Briefings we have examined the OIG's ability to exclude providers that charge amounts to Medicare that are substantially in excess of the provider's usual charges. The OIG published proposed regulations in September 2003 that attempted to define both "substantially in excess" and "usual charges." The provider community has waited years for further guidance and/or the finalization of these proposed regulations. This past week, the OIG finally responded by publishing official notice in the Federal Register that the agency was withdrawing the proposed regulations, and had no plans to promulgate a final rule concerning excessive charges. This week, we will review this latest action by the OIG and attempt to predict its impact on our subscribers and their pricing policies.

Sincerely,

Gregory Root, Esq.

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