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Bariatric COE question

  1. #1
    Johnson City
    Default Bariatric COE question
    Medical Coding Books
    We perform bariatric surgery and are in the process of trying to obtain Bariatric Center of Excellence. I was just reading Medicare's policy on Bariatric Surgery they require surgery to be done at a facility that is a Bariatric Center of Excellence. So my question is:

    Does anyone know if Medicare would pay the provider's charge, and deny only the facility's fee if we were to do bariatric surgery prior to the facility getting deemed a COE?

    I'm batting this idea around, b/c a requirement for obtaining COE is meeting a certain volume of patients, which is pretty darn hard when we have to turn away patients right and left, b/c we are not a COE, yet. We might be able to get the hospital to agree to doing this temporarily, to help them move closer to becoming a COE.

    Thanks for your input in advance.
    Melissa Jewett, CPC

  2. Default Coe
    Medicare will NOT pay for bariatric surgery unless done at a center of excellence awarded by the ASMBS or ACS.

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