Tip of the week: Avoid denied claims for ED diagnostic testing
Case Management Weekly, May 12, 2004
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Medical necessity determinations in the ED can be a controversial subject. Section 944 of the MMA says tests or services will be payable by Medicare if they were reasonable and necessary based on the information the practitioner had at the time they were ordered, and based on the patient's complaint or presenting symptoms. Click here to learn how to avoid denied claims for ED diagnostic testing.
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