Everyone
in care delivery should be aware of medical necessity, particularly
when treating Medicare patients.
Each affected code alerts you with an LMRP, LCD, or NCD indicator
so that you may check drug codes for Medicare coverage instructions
and medical necessity edits under Part A or Part B coverage. Understand
which ICD-9-CM procedures define medical necessity and what the documentation
guidelines are for successful claim submission. Gain insight into
those drugs that carry little or discretionary coverage and how to
report them.
Some drugs are considered self-administered by patients and therefore,
are not covered under Medicare Part B. DrugReimbursement.com
helps you identify self-administrable drugs that are not covered under
Medicare and should be billed to the patient.
