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Anesthesia Coding Alert

Policies:

Brush Up on Medical Necessity for MAC

Published on Fri Apr 12, 2019

Check out this payer’s example of criteria to meet. Although colonoscopy screening is a preventive care procedure that includes anesthesia, EGD procedures may still have requirements from insurance companies for medical necessity. If you are having difficulty, check for published clinical policy. For example, Amerigroup Partnership Plan, LLC publishes requirements for Monitored Anesthesia Care (MAC) as follows: Monitored anesthesia care [...]
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