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Important Notice: Change of Address


CodeMap® Compliance Briefing: 11/02/07


Editor's Welcome:

Most of our subscribers are aware that Medicare regulations prohibit the reassignment of benefits to any entity other than the provider that actually performs the test or service for the Medicare beneficiary. These regulations are often referred to as Medicare's direct billing rules. However, clinical laboratories may, under certain circumstances, bill Medicare for tests sent to other labs because of several key exceptions to these rules. Today's briefing will explain how Medicare processes and pays for claims submitted for referred testing.

Sincerely,

Gregory Root, Esq.


Payment Jurisdiction for Referred Lab Tests

by: Charles Root, Ph.D.

Introduction

As discussed in previou....

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