We see some of our regular patients for preoperative clearance. How can we get Medicare to pay? 

Medicare will pay for preoperative clearance exams if the exam is medically necessary and meets the documentation requirements of the service billed. Usually, you'd use an E&M code. If you are getting denials, you can try printing out the following transmittal - look at pages 5 and 6 - which spells out Medicare's policy:



www.cms.hhs.gov/manuals/pm_trans/R1707B3.pdf

.

Attach this to your appeal - in addition to the written request from the surgeon - and you should get paid.

We see some of our regular patients for preoperative clearance. How can we get Medicare to pay?