Avoiding Costly Mistakes Under Medicare’s Anti-Markup Rule

Ericka Adler is joined by Roetzel shareholder Christina Kuta to break down the anti-markup rule and what health care providers need to know to stay compliant. They discuss how the rule applies to diagnostic testing services billed to Medicare, when billing arrangements may raise compliance concerns, and share practical examples to illustrate how it works in real-world scenarios. They also cover the potential consequences of noncompliance, including repayment obligations, penalties, and risks that may arise during audits or practice sales, and discuss what providers should be doing now to avoid costly mistakes.