MEDICAL BILLING AND CODING

Wednesday, April 27, 2011

MEDICARE COVERED SERVICES

Generally Medicare covered services are considered medically needy to the overall diagnosis and treatment of the beneficiary’s conditions
Proper and needed for the diagnosis or treatment of the beneficiary’s medical conditions,
Furnished for the diagnosis, direct care, and treatment of the beneficiary’s medical conditions,
Meet the standards of good medical practice,
Not mainly for the convenience of the beneficiary, provider, or supplier,
For every service billed, the provider or supplier must indicate the specific sign, symptom, or beneficiary complaint necessitating the service. Although furnishing a service or test may be considered good medical practice, Medicare generally prohibits payment for services without beneficiary symptoms or complaints.
Medicare pays for provider professional services that are furnished in the home, office, institution, or at the scene of an accident.
Medicare contains four parts: - 1) Part-A, 2) Part-B,3) Part-c,4) Part-D.

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