With the rise of opioid addiction and abuse in the United States, the government has implemented various laws and regulations to combat this growing epidemic. One such law is the Eliminating Kickbacks in Recovery Act (EKRA), which was signed into law in 2018 as part of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and…
With the rising concern over opioid addiction and abuse in the United States, lawmakers have been enacting stricter regulations to combat this epidemic. One such regulation is the Eliminating Kickbacks in Recovery Act (EKRA), which aims to crack down on illegal kickbacks in the healthcare industry. As healthcare providers navigate the complexities of EKRA compliance,…
The Eliminating Kickbacks in Recovery Act (EKRA) is a federal law aimed at combating illegal patient referrals and kickbacks in healthcare. Clinical diagnostic labs must ensure compliance with EKRA to avoid legal repercussions and protect their reputation. In this article, we will discuss how clinical diagnostic labs can ensure compliance with EKRA. Understanding EKRA Before…
The Eliminating Kickbacks in Recovery Act (EKRA) is a federal law that was enacted to combat the rampant fraud and abuse in the recovery industry. EKRA prohibits kickbacks and other improper financial arrangements in exchange for patient referrals to recovery homes, clinical treatment facilities, and laboratories. Non-compliance with EKRA can have serious consequences for healthcare…
Introduction The Eliminating Kickbacks in Recovery Act (EKRA) was enacted in 2018 as part of the SUPPORT for Patients and Communities Act. The legislation aims to combat the opioid crisis by addressing fraudulent practices, including kickbacks, in the healthcare industry. Diagnostic labs are not exempt from EKRA regulations, and it is crucial for these facilities…
Introduction In recent years, the healthcare industry has seen a significant increase in regulations aimed at combatting fraud and abuse. One such regulation that has garnered attention is the Eliminating Kickbacks in Recovery Act (EKRA). EKRA was enacted as part of the SUPPORT for Patients and Communities Act in response to the opioid epidemic and…
As the healthcare landscape continues to evolve, regulations are put in place to ensure patient safety and prevent fraudulent activities. One such regulation is the Eliminating Kickbacks in Recovery Act (EKRA), which was implemented to combat kickbacks in the healthcare industry. Clinical diagnostic labs play a crucial role in patient care, making it essential for…
Introduction As a healthcare provider, dealing with insurance claims can be a complicated process. One common issue that non-par providers face is the deadline for filing claims with insurance companies like Aetna. In this blog post, we will explore whether non-par providers can request an extension for filing claims with Aetna and discuss the steps…
As a non-participating provider with Aetna, it is important to understand the filing limit procedure to ensure timely reimbursement for your services. Aetna has specific guidelines in place for non-participating providers when it comes to submitting claims and seeking reimbursement. In this blog post, we will delve into Aetna���s filing limit procedure for non-participating providers…
Introduction When it comes to billing insurance companies as a healthcare provider, timely filing is crucial. Failure to submit claims within the designated timeframe can result in claim denials, delayed reimbursements, and potential loss of revenue. In the case of non-participating (non-par) providers, the rules and regulations surrounding timely filing can be even more stringent….