Is Quest in compliance with CMS, OIG, and HIPAA guidelines?
Yes: Compliance Validation section gives the precise details. CMS compliance: Quest software does not affect the standard reimbursement payments received from Medicare / Medicaid because the DRG assignment is not altered and all patients are billed uniformly for the same illnesses. OIG compliance: The software is compatible with the CMS 837 format (the computer language required by the federal government for billing) and with the HIPAA X-12 format (the 12 universal computer languages required for data transmission). HIPAA: Quest complies with HIPAA (the Health Insurance Portability and Accountability Act). Quest software operation never needs any patient name, social security number or any other patient identity. Uniform pricing: Quest software uniformly prices all patient bills, regardless of the payer. Quest software operation will not, and cannot change or alter any reimbursement based on a hospital-assigned DRG. In the alternative, Quests product will identify, refuse, and return a
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- Is Quest in compliance with CMS, OIG, and HIPAA guidelines?