If the RX is incorrect, that medical office will not be paid by Medicare or the insurance company for the work they honestly did. So of course patients are sent home in that case until the paperwork is properly done. you were able to badger them into...

Medicare classified further imaging for dense breasts, etc as screening. Not covered. Only mammography is acceptable for screening.Diagnostic studies require specific indications such as palpable mass, or a suspicious finding on a previous imaging st...

@GailL1 wrote:@RichardS431773 Maybe I am misunderstanding your post - but I don't think that this is what this coverage is saying at all at the coding end.CMS.gov Medicare Coverage Database LCD ID L33950 Breast Imaging Mammography/Breast Echography (...

Hi:Apparently NGS Medicare LCD 11/2021says that high breast density, family history, personal history of breast cancer, genetic testing risks are no longer criteria for secondary breast imaging by ultrasound or MRI for Medicare coverage. Even though ...