Tuesday, September 11, 2012

Items and Services That Are Not Covered Under the Medicare Program

The Department of Health and Human Services - Centers for Medicare and Medicaid published a guide on Items and Services not covered under the Medicare program

The guide is broken down into the following 4 sections:
  • Services and supplies that are not medically reasonable and necessary
  • Excluded items and services:
    • Items and Services Furnished Outside the U.S. (with exceptions)
    • Custodial Care (with exceptions)
    • Cosmetic Surgery (with exceptions)
    • Dental Services
    • Certain Foot Care Services and Supportive Devices for the Feet (with exceptions)
    • Services Related to and Required as a Result of Services That Are Not Covered (with exceptions)
  • Examples of services and supplies that have been denied as bundled or included in the basic allowance of another service include:
    • Physician standby services
    • Prolonged care
  • Examples of items and services reimbursable by other organizations or furnished without charge:
    • Items and Services Authorized or Paid For by a Government Entity
    • Defective Equipment or Medical Devices Covered Under Warranty
To download the full guide with more examples, please click the following link: Items and Services That Are Not Covered Under the Medicare Program

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