Managed Care Contracting & Reimbursement Advisor, March 2012
CMS' rule for billing preadmission nondiagnostic services has long determined how physicians can bill for certain types of care, like presurgical lab tests, before a patient is admitted to a hospital, but now the requirements have been changed. The new rule broadens the requirement so that more outpatient procedures will have to be bundled with the inpatient billing.
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