joy7ann
Networker
If a patient presents to our Adult Daycare and they have their own primary care doc can we bill Medicare for an H&P with our medical director as a condition of admission? I am trying to make the case that this is redundant and could be fraudulent. Please help.
I called CMS and they said as long as their is medical necessity they will pay but they would not define what they consider medically necessary...![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
I called CMS and they said as long as their is medical necessity they will pay but they would not define what they consider medically necessary...