mbsolutions
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I have a practice who scheduled a Medicare Patient to have two excisions same day... normally only one excision/day is done to avoid the multiple surgery discounts. Patient was advised by front office staff on the day he arrived that only 1 excision would be done, he would have to come back for the 2nd. He insisted he wanted both excisions same day (as he was scheduled for that) and was then advised by said staff member that if he wanted the 2nd excision, he would have to pay cash for it, and sign a waiver that he agreed that we would not be billing Medicare. Now the patient is angry and feels the office is ripping him and the Medicare system off, after all Medicare would cover this procedure. I am now involved to determine the Medicare rules on this. After exhausting the MDCR manuals... no luck finding any specific rule
Does anyone have any specific information that I can provide to the practice, so that corrective action, if necessary may be implemented. Thanks!!
Does anyone have any specific information that I can provide to the practice, so that corrective action, if necessary may be implemented. Thanks!!