Sample Question from Medicare Compliance for Clinical Laboratories (updated 2009), presented by MediaLab

Compliance Issues: Billing

Billing

Billing is the highest risk area for the laboratory because it generates the claims that are sent to Medicare and other government payers.
Payment and payment errors are the focus of the OIG compliance guidance for the laboratory because of the revenue involved.
Fraud and abuse is often perpetrated as a billing scheme.
Nearly all laboratory functions can affect the billing of laboratory tests.

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