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Medicare Rules For Experimental or Investigational Services

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Manage episode 486631943 series 2490675
Content provided by Terry Fletcher. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Terry Fletcher or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Medical necessity is defined as services that are reasonable and necessary for diagnosis or treatment of an illness or injury, or to improve the functioning of a malformed body member and are not excluded under another provision of the Medicare Program.

Unfortunately, we have many practices trying to slide under the radar the experimental and/or investigational services that are considered not medically necessary or a covered benefit under most payers. Terry discusses the ins and outs of this practices and how to make sure you are not falling into a false claim trap.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post Medicare Rules For Experimental or Investigational Services appeared first on Terry Fletcher Consulting, Inc..

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79 episodes

Artwork
iconShare
 
Manage episode 486631943 series 2490675
Content provided by Terry Fletcher. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Terry Fletcher or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

Medical necessity is defined as services that are reasonable and necessary for diagnosis or treatment of an illness or injury, or to improve the functioning of a malformed body member and are not excluded under another provision of the Medicare Program.

Unfortunately, we have many practices trying to slide under the radar the experimental and/or investigational services that are considered not medically necessary or a covered benefit under most payers. Terry discusses the ins and outs of this practices and how to make sure you are not falling into a false claim trap.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post Medicare Rules For Experimental or Investigational Services appeared first on Terry Fletcher Consulting, Inc..

  continue reading

79 episodes

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