Medical Necessity: A Major Compliance Issue and Risk

Stark Integrity
24/01/2023 20 min Episodio 65
Medical Necessity: A Major Compliance Issue and Risk

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Episode Synopsis

Send us a textPhysicians may believe a test or procedure is medically necessary, but payers make the final determination. In this episode, Captain Integrity Bob Wade details medical necessity and the implications for Stark Law compliance. Hear why payers make the medical necessity determination, patients are in control, we can compensate a physician if the patient desires additional services, what the Medicare payment rules say, and examples from the medical field. Learn more at CaptainIntegrity.com

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