Corporate Compliance

Note: CMS revises "incident to" rules relating to hospital diagnostic services

Medicare Insider, February 2, 2010

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Editor’s note: Judith Kares, JD, CPC, regulatory specialist for HCPro, Inc., is the author of this week’s note from the instructor.

During the past several years, CMS has been revising and refining the “incident to” rules that apply to hospital therapeutic services. These rules provide the threshold coverage criteria that must be met in order for hospital therapeutic services to be covered under the Medicare program. In the CY 2010 OPPS final rule, CMS also revised the “incident to” rules relating to hospital diagnostic services. In order for hospital diagnostic services to be covered, they must meet the following requirements.

Continue reading Judith Kares' note.



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