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Opinions please!

Margaret Posted Wed 18th of May, 2011 16:50:23 PM

I have a situation occurring with colonoscopies and my docs that I do not know what I should do.

They insist that their patients need to have colonoscopies which are medically necessary. Apparently, the surgery scheduler is asking docs to write letters to Medicare about the medical necessity of these procedures.

I understand about the two-year rule for high risk patients, but am I to bill these to Medicare knowing full well that they will be denied?? I don't want to lose my certification and I am not sure how to handle this situation. Any advice you can give will be greatly appreciated!

I found my answer. Thanks anyway!

SuperCoder Answered Wed 18th of May, 2011 20:41:19 PM

Still info you need, let me know. Perhaps, you haved added last line later on.

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