2min chapter

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Painful Paperwork: AKASA's Varun Ganapathi on Improving Medical Billing

The AI Health Podcast

CHAPTER

What Is Medicare Coverage Nation Wide?

Medicare has a list of national coverage determinations, which are basically that they describe the circumstances for medicare coverage nation wide. For specific medical procedure or device, some outside party, say medical professional association or a manufacturer,. will request a national coverage determination for some new procedure. If c m s determines that it is medically necessary, it will become a new national guide line. A study from 20 15 found that private insurers disagreed with medicare overeterminations covering medical devices about half the time.

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