decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Balanced Budget Act of 1997 / Three strikes and you're out
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Article Overview
This brief article explains a federal exclusion policy from the Balanced Budget Act of 1997 and its relevance to Medicare and Medicaid compliance. It is aimed at coding, compliance, and reimbursement professionals who need to understand the general scope of the exclusion rule and its relationship to federal statute and program participation.
Why This Topic Matters
This provision affects how repeated exclusion offenses are treated under federal health program policy, which can have major compliance and participation implications for providers and organizations.
What You Will Learn
- The broad subject of a federal exclusion provision linked to repeated offenses
- How the article situates the policy within Medicare and Medicaid compliance
- The general compliance significance of the exclusion framework referenced by the article
- The statutory and program context associated with the policy note
Who Should Read This
- Medical coders
- Coding compliance staff
- Revenue cycle professionals
- Healthcare compliance officers
- Payer policy analysts
Codes Discussed
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