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Will Medicare Supplement Insurance cover dependents under the age of 16?
Yes, Medicare Supplement Insurance covers dependents and children up to the age of fifteen according to their guidelines which are listed on their website.
Will Medicare pay for a bone growth stimulator?
Medicare coverage for a bone growth stimulator depends on the specific circumstances and medical necessity. In general, Medicare may cover a bone growth stimulator if it is deemed medically necessary for the treatment of a nonunion fracture or certain other conditions. However, coverage criteria can vary, so it is important to consult with a healthcare provider and Medicare for specific details regarding coverage eligibility.
Medicare reason code co16?
Medicare reason code CO16 indicates that the claim has been denied because the procedure or service is considered to be not medically necessary according to Medicare guidelines. This means that the treatment provided does not meet the criteria for coverage under Medicare's policies. Providers may need to review the documentation and possibly appeal the decision if they believe the service was necessary.
Does medicare pay for wheelchair walk in showers?
Medicare does not typically cover the cost of wheelchair-accessible walk-in showers, as they are considered home modifications rather than medical equipment. However, if a shower is deemed medically necessary for a patient's treatment, Medicare may cover related costs under specific circumstances, such as if it is part of a broader home health plan. It's essential for beneficiaries to consult with their healthcare provider and review Medicare guidelines for coverage specifics.
Is CPT code 87002 covered for medicare reimbursement?
CPT code 87002, which refers to the culture of bacteria from a specimen, is typically covered by Medicare when medically necessary and performed in accordance with applicable guidelines. However, coverage can depend on specific circumstances, such as the patient's condition and the reason for the test. It's important for providers to check with Medicare or review their local coverage determinations for any specific requirements or limitations.
What insurance coverage is typically available for oxygen therapy?
Oxygen therapy is usually fully or partially covered by most insurance plans, including Medicare , when prescribed according to specific guidelines.
Does Medicare cover counseling services by an LCSW. How does an LCSW bill Medicare and how much does Medicare reinburse ?
Yes, under most circumstances it will. Medicare has a set amount for these types of services, no matter what they charge. Medicare allows the provider to bill a certain discounted amount to the patient or insurance company. www.texasbestmedicare.com
Do you obtain a authorization for secondary ins when medicare is primary?
after getting the payment from medicare (Primary) then secondary (X/Y/Insurance should pay even if there is no auth. And only this happens if secondary insurance follow medicare guidelines.
Can you be denied Medicare coverage for any reason if you are a US citizen?
Yes, you can be denied Medicare coverage even if you are a citizen of the United States. Having an income higher than Medicare's current guidelines can disqualify you. There are many other reasons which are all described on the government's Medicare website at medicare.gov.
Can you continue to work and get medicare retirement payments?
Yes, however there are guidelines. There are many "grey areas" so you must contact an insurance agent for the guidelines that apply to you.
Will medi-care pay if primary denies?
Yes, Medicare can provide coverage if the primary insurance denies a claim, but it depends on the specific circumstances. Typically, the provider must submit the claim to Medicare after the primary insurer has processed it. If Medicare determines the services are covered under its guidelines, it may pay for the remaining balance, but patients should verify their eligibility and any potential out-of-pocket costs. Always check with both insurance providers for specific details regarding coverage.
DOES J3301 OR J0696 NEED MODIFIERS FOR MEDICARE?
For Medicare billing, J3301 (Injection, triamcinolone acetonide, not otherwise specified) and J0696 (Injection, ceftriaxone sodium, per 250 mg) do not typically require modifiers when billed individually. However, if these codes are used in conjunction with other services or if certain circumstances apply (like a bilateral procedure), appropriate modifiers may be needed. It's always best to consult the latest Medicare guidelines or the specific local contractor policies to ensure compliance.
