What are Medicare Anti-Mark Up Rules?
Medicare’s new Anti-Mark up Rules went into effect on January 1, 2009.The Medicare Anti-Mark Up Rules are meant to prevent the mark up (price increase) of certain diagnostic tests that are …
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What is the Emergency Medical Treatment and Active Labor Act of 1985?
The Emergency Medical Treatment and Active Labor Act of 1985 (“EMTALA”) was passed as part of the Consolidated Omnibus Budget Reconciliation Act of 1986, a federal law that is more commonly known as “COBRA”. EMTALA is the portion of COBRA that determines the circumstances under which a patient can be refused medical treatment, and/or be transferred to another …
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How do I appeal the denial of a Medicare claim?
If you file a claim with Medicare for a product or service related to your health care that you think Medicare should pay for, and Medicare denies your claim, or doesn’t pay the entire claim, you can file an appeal. You can file an appeal whether you receive benefits through the original Medicare Plan, a Medicare managed care plan, or the Medicare prescription drug plan. By …
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