Looking for help!
We have some Medicare patients who have a history of cancer and chemotherapy.
These patients are in need of dental extractions done in a hospital setting. We can not do predeterminations to Medicare for hospital approval and cannot guarantee Medicare will pay for the extractions or hospital fees.
The criteria I get from the Medicare web site suggests extractions will be paid if the patient is being prepped for chemotherapy in regards to jaw surgery / cancer.
These patients do not have cancer in the oral cavity, it is metastatic and the teeth are becoming abscessed due to the chemo treatment.
Does anyone have suggestions for getting approval for hospital or getting these claims paid by Medicare?
Thanks for all your help
We have some Medicare patients who have a history of cancer and chemotherapy.
These patients are in need of dental extractions done in a hospital setting. We can not do predeterminations to Medicare for hospital approval and cannot guarantee Medicare will pay for the extractions or hospital fees.
The criteria I get from the Medicare web site suggests extractions will be paid if the patient is being prepped for chemotherapy in regards to jaw surgery / cancer.
These patients do not have cancer in the oral cavity, it is metastatic and the teeth are becoming abscessed due to the chemo treatment.
Does anyone have suggestions for getting approval for hospital or getting these claims paid by Medicare?
Thanks for all your help