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PurpleLab identified HCOs other than those previously identified by the Department of Justice who appear to have violated the National Coverage Determinations (NCDs) establish by Medicare regarding the appropriate use and billing/reimbursement for Implantable Cardioverter Defibrillators (ICDs).

In 2015, the United States Department of Justice reached 70 settlements involving 457 hospitals in 43 states for more than $250 million related to cardiac devices that were implanted in Medicare patients in violation of Medicare National Coverage Determinations (NCDs). The NCD provides that ICDs generally should not be implanted in patients who have recently […]

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