F107HyperSabr
DP Veteran
- Joined
- May 12, 2009
- Messages
- 2,617
- Reaction score
- 375
- Location
- Connecticut
- Gender
- Male
- Political Leaning
- Independent
OK, let's take a look at the reasons why Medicare claims were denied. Most of them basically boil down to:
- The procedures simply are not covered under Medicare at all.
- The person is not actually enrolled in Medicare, or was not enrolled at the time of the procedure.
If you're arguing that more procedures need to be covered under Medicare and/or that coverage needs to be expanded so more people are enrolled (which would address both of those reasons for claim denial), I'm certainly willing to hear you out. But something tells me that is NOT what you arguing at all. :roll:
Those two deial reasons are true for Medicare and non Medicare claims.
They are good denial reasons-