The infographic will help illustrate how the Prudent Layperson Standard (PLP) has protected patients for over 30 years. With the latest developments concerning CMS’ approval of Virginia Medicaid’s Emergency Department downcoding policy, it is important to understand where it all began.
The PLP ensures that enrollees have unfettered access to health care for emergency medical conditions and that providers of emergency services receive payment for those claims meeting that definition without having to navigate through unreasonable administrative burdens.
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