Encore: Medicare Not Covered Items and Services

This education is from a recording on 8/15/2024.

Medicare coverage is set in the Social Security Act. This law prohibits coverage of certain items and services. We want to help you avoid the denials relating to these services.

This training:
• Defines not covered services versus not medical necessary services
• Shows resources to determine a not covered service
• Explains the claim criteria for a billing a not covered service

This training will help anyone billing Medicare for noncovered services.

Take the survey:

Provider resources:
Internet-Only Manuals

Medicare Benefit Policy Manual, Chapter 16 - General Exclusions From Coverage

Items & Services Not Covered Under Medicare Booklet

Medicare Coverage Database

CMS Beneficiary Notices Initiative (BNI) web page

Patient resources
What isn't covered by Part A & Part B?

Medicare & You handbook