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CMS issues Medicare provider compliance newsletter with guidance to address billing errors

USA - August 15 2011 CMS has issued its fourth Medicare Quarterly Provider Compliance Newsletter.  Inside, CMS identified seven common hospital billing errors with respect to coding that affects DRG assignment.

CMS proposes retracting requirement for physician signature for clinical diagnostic laboratory tests

USA - July 11 2011 On June 30, 2011, CMS published a proposed rule to retract the policy announced in 2010 requiring the signature of a physician or qualified non-physician practitioner (NPP) on requisitions for clinical diagnostic laboratory tests. 

HRSA proposes regulations interpreting 340b program orphan drug exclusion for newly covered entities

USA - June 6 2011 On May 20, 2011, the Health Resources and Services Administration (HRSA) of the Department of Health and Human Services (HHS) published a proposed rule to implement the statutory provision excluding orphan drugs from the 340B drug discount program for certain entities that became eligible for the program as a result of healthcare reform.

CMS to change rule requiring physician signatures on clinical diagnostic lab tests

USA - April 4 2011 On March 31, 2011, CMS informed its Provider Resource mailing list that it intends to change the regulation requiring physician or qualified non-physician practitioner signatures on requisitions for clinical diagnostic laboratory tests paid under the clinical laboratory fee schedule.

CMS issues Medicare provider compliance newsletter with guidance to avoid common problems identified by recovery auditors

USA - March 7 2011 CMS has issued its second Medicare Quarterly Provider Compliance Newsletter.