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Gastroenterology Coding Alert

Reader Question:

Don't Discriminate Against Medicare No-Shows

Published on Fri Nov 16, 2007

Question: Is there a code to report a missed appointment to Medicare? Delaware Subscriber
Answer: In short, no. You should not report missed appointments to Medicare. Medicare says you may charge the patient directly, but you may not submit a missed appointment charge on your Medicare claim. Also, you may not charge only Medicare patients for missed appointments. You should charge Medicare and non-Medicare patients the same amount for the lost business opportunity. Read more: MLN Matters MM5613 covers the topic and is available at www.cms.hhs.gov/MLNMattersArticles/downloads/MM5613.pdf.
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