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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Welcome to our Virginia page.  We are currently working to add information on many of the important areas of healthcare compliance that fall under state law.   Our goal is to enable you to access the information you are looking for easily and to be sure that it is up to date. 

Virginia Covid-19 Resources and Updates

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Medicaid Coverage and Compliance

    • Covered Services
    • Patient Billing and Eligibility
    • Provider Enrollment
    • Managed Care
    • Fee Schedules


    • General Law
    • Practitioner Specific Rules
    • Out-of-State Practitioners
    • Insurance Parity

Retention and Release of Medical Records

    • Required Retention Period
    • Releasing Records to Patients
    • Releasing Records to Third Parties
    • Charging the Patient for Copies
    • Patient Requests for Amendments
    • Closing the Practice

    Practitioner Compliance

      • Physicians
      • Physician Assistants
      • Nurse Practitioners

    Workers’ Compensation

      • Employee Provider Choice
      • Physician Services
      • Documentation
      • Fee Schedules

    Additional Compliance Issues

      • Mandatory Reporting
      • Healthcare Liens
      • Out-of-Network Billing Laws
      • Waste, Fraud and Abuse Provisions

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