WHAT IS A MEDICARE REPLACEMENT PLAN?

Medicare is now enforcing their protocol on secondary diagnosis codes and re-evaluation visits. Providers will need to make sure that they’re aware to schedule patients for their re-evaluations exams once they have met the diagnosis visit limit. Expect denials from Medicare if you are not following the guidelines within Short-Term, moderate, and long-term treatment codes. Please refer to the list of codes and how many visits coincide with that diagnosis to determine your re-evaluation.