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Medicare OPPS Rule Has Pitfalls for Labs

CMS finally issues rules for packaging certain lab tests for OPPS outpatients

CEO SUMMARY: On January 1, the new Medicare rule for requiring bundled or packaged reimbursement for certain services covered by the hospital Outpatient Prospective Payment System (OPPS) became effective. Just four days earlier (on December 27), Medicare officials issued instructions on how hospitals and laboratories should bill for these services. The new rules trigger serious […]

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