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HealthInsurance Portability and Accountability Act (HIPAA) and Centers for Medicare and Medicaid Services (CMS) urge the providers to not only bill accurately but also adhere to their compliance rules. Healthcare professionals can reduce claim denials by following all billing protocols defined by payers and statepolicies.
This separated spheres of authority vision does not account for the ubiquitous use of federal/state partnerships in achieving national and statepolicy goals, especially healthpolicy goals. United States , which held Congress cannot “dragoon” state executive officials to implement federal laws.
While the EMTALA guidance is currently being challenged in federal court, we expect the Administration to address additional issues related to reproductive health care services, including statepolicies affecting telehealth and travel restrictions for abortion.
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