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Billing Medicare for Non-Covered Services

Yesterday we discussed the practice of billing non-covered services under a payable code, and clearly established that such a practice would be considered fraudulent. This does not mean that the provider does not deserve to be paid for the service nor does it mean that he must automatically write the charges off as a loss. […]

Avoid Unnecessary Denials! Use your Medicare Local Coverage Determinations!

What is a “Local Coverage Determination” (LCD)?                                                                                          Medicare contracts with private companies like Palmetto, Noridian, Novitas, etc. to administrate—process and pay claims in a specific region. Medicare Carriers and Fiscal Intermediaries (FIs) are private companies that Medicare contracts with to pay bills. More recently some FI’s have been replaced with the MAC […]