CEO SUMMARY: Federal regulators are taking another crack at defining “usual charges.” Language in the proposed rules published last month precisely defines which payers should be included in determining “usual charges” and what charge basis to use for specific payers. Once effective, the new rules will have financial impact on many laboratories, particularly those known […]
OIG Moves to Address “Usual Charge” Issue
“Discriminatory billing practices” is target of new rules published on September 15
- By Robert Michel
- > From the Volume X No. 14 - October 20, 2003 Issue
- Tags: clinical lab, clinical laboratories, dark report, Fee-for-service, hie, impac, jane pine, jane pine wood, lab test, lab test prices, lab tests, laboratories, laboratory industry, managed care, managed care organization, managed care organizations, Medicare, medicare billing, the dark report, the laboratory
