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Standards

Our Ethical Standards

Crystal Billing Services will maintain the highest ethical standards in the industry for professional medical billing. Our policies are designed to either meet or exceed the standards set forth by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). In accordance with the suggestions of the OIG Third Party Medical Billing Compliance Program, we have established a comprehensive internal compliance program that employees readily understand. What does this mean?

We do not participate in:

  • UNBUNDLING or up-coding
  • IMPROPER use of modifiers
  • ALTERATION of documentation
  • SUBMITTING claims for undocumented services
  • BILLING for services provided by unqualified personnel

Our policies comply with the laws regarding:

  • ACCURATE claims coding and submission
  • ACCURATE business records and retention
  • COURTESY DISCOUNTS and waiver of co-payments