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Claim denied as "NON-COVERED SERVICES"
Description:
Billing for services not covered under the Medicare program.
Action :
Keep in mind that there's a lengthy list of Medicare exclusions such as: Personal comfort items; self-administered drugs and biologicals (i.e., pills and other medications not administered by injection); cosmetic surgery (unless done to repair an accidental injury or improvement of a malformed body member); eye exams for the purpose of prescribing, fitting or changing eyeglasses or contact lenses in the absence of disease or injury to the eye; routine immunizations; routine physicals; lab tests and X-rays performed for screening purposes; hearing aids; routine dental (care, treatment, filling, removal or replacement of teeth); custodial care, services furnished or paid by government institutions; services resulting from acts of war; and charges to Medicare for services furnished by a physician to immediate relatives or members of the same household.
Stay up-to-date on current exclusion policies by checking with your Medicare carrier and/or their Web site for changes. Most carriers will post changes to policies and their effective date. If not, go directly to Medicare's Web site at www.cms.hhs.gov and find them there.
Description:
Billing for services not covered under the Medicare program.
Action :
Keep in mind that there's a lengthy list of Medicare exclusions such as: Personal comfort items; self-administered drugs and biologicals (i.e., pills and other medications not administered by injection); cosmetic surgery (unless done to repair an accidental injury or improvement of a malformed body member); eye exams for the purpose of prescribing, fitting or changing eyeglasses or contact lenses in the absence of disease or injury to the eye; routine immunizations; routine physicals; lab tests and X-rays performed for screening purposes; hearing aids; routine dental (care, treatment, filling, removal or replacement of teeth); custodial care, services furnished or paid by government institutions; services resulting from acts of war; and charges to Medicare for services furnished by a physician to immediate relatives or members of the same household.
Stay up-to-date on current exclusion policies by checking with your Medicare carrier and/or their Web site for changes. Most carriers will post changes to policies and their effective date. If not, go directly to Medicare's Web site at www.cms.hhs.gov and find them there.
Posted in: non covered denial
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