Coping with Confusion about Coverage

A lot of procedures have ambiguous payor coverage. Examples include dry eye treatments, imaging meibomian glands, unlisted CPT codes, Category III CPT codes, and screening. A service is sometimes covered and reimbursed and sometimes not. Simple yes or no answers elude you. In this program, we deal directly with this challenge and help you navigate this maze of uncertainty. We address the ethical considerations of refusing to perform procedures that might not be reimbursed and the applicable financial waiver forms. We review the impact of Congressional legislation that substantially changed Medicare’s approach to coverage and payment. You will gain a better understanding of this important topic and a practical approach to move forward.

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