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CodeMap® Compliance Briefing: July 25, 2012


Editor's Welcome:

In certain markets, some laboratories agree to waive beneficiary payment obligations such as copays, coinsurance, and deductibles in order to secure new business. This practice is particularly prevalent in competitive markets focused on certain esoteric or specialized testing. This week, we will discuss the often serious compliance issues that accompany such business practices. As this CodeMap® Compliance Briefing will demonstrate, depending on the state in which the laboratory operates, the waiver of patient payment obligations could expose the organization to civil and criminal liability. We developed this briefing in response to consistent and on-going inquiries from our subscribers concerning the practice. As this week's b....

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