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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...
RichardS431773 08-26-2022 04:19 AM
1
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0
Kudos
644
Views
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...
RichardS431773 08-18-2022 11:39 AM
1
Reply
0
Kudos
854
Views
@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 (...
RichardS431773 08-18-2022 11:33 AM
2
Replies
0
Kudos
857
Views
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 ...
RichardS431773 08-17-2022 08:11 PM
2
Replies
0
Kudos
911
Views
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...
RichardS431773 08-26-2022 04:19 AM
1
Reply
0
Kudos
644
Views
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...
RichardS431773 08-18-2022 11:39 AM
1
Reply
0
Kudos
854
Views
@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 (...
RichardS431773 08-18-2022 11:33 AM
2
Replies
0
Kudos
857
Views
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 ...
RichardS431773 08-17-2022 08:11 PM
2
Replies
0
Kudos
911
Views
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...
RichardS431773 08-26-2022 04:19 AM
1
Reply
0
Kudos
644
Views
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...
RichardS431773 08-18-2022 11:39 AM
1
Reply
0
Kudos
854
Views
@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 (...
RichardS431773 08-18-2022 11:33 AM
2
Replies
0
Kudos
857
Views
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 ...
RichardS431773 08-17-2022 08:11 PM
2
Replies
0
Kudos
911
Views
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Date Registered ‎09-01-2019 01:08 PM
Last Visited ‎08-26-2022 10:41 AM
Total Messages Posted 4
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