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Where does it say CMS blanket approves? It doesn't, and I've never made that assertion. However, Medicare and Medicaid both deny claims at a lower rate than p
by inferiorhuman 2y ago
Where does it say CMS blanket approves?
It doesn't, and I've never made that assertion. However, Medicare and Medicaid both deny claims at a lower rate than private insurers. How frequently depends on where and when you look.
The guidelines however are important. BCBS wants to reject any claims for anesthesia out of hand if they exceed the average length of a procedure. Medicare does not. Because we all know that unexpected things never happen in the operating room.