A national coverage determination lists six conditions for which a treatment is covered. During a review you find dozens of patients who received the treatment for a seventh, unlisted condition. Therefore,

  • Advanced Poll:
    A national coverage determination lists six conditions for which a treatment is covered. During a review you find dozens of patients who received the treatment for a seventh, unlisted condition. Therefore,
    • You must refund on every patient immediately.
      6.06%
    • You must refund on every Medicare patient.
      12.12%
    • You must refund on every Medicare patient within 60 days.
      46.46%
    • A refund is not required, but you should not bill for any new patients.
      13.13%
    • A refund is not required and you may bill for new patients.
      22.22%