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Rural Hospital Group Says Lab Billing Model Is Legal

70/30 rule exemption governs billing, says President of National Alliance of Regional Hospitals

CEO SUMMARY: In recent years, many rural hospitals have entered into agreements to expand their laboratory outreach businesses. In an interview, the president of the National Association of Rural Hospitals said rural hospitals often bill for lab outreach services under Medicare’s 70/30 shell rule. This rule, as modified by the Omnibus Budget Reconciliation Act of …

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