What is a Medicare National Coverage Determination?
A national coverage determination (NCD) is a US Government determination of whether Medicare will pay for an item or service. Medicare coverage is limited to items and services considered “reasonable and necessary” for diagnosing or treating an illness or injury (and within the scope of a Medicare benefit category). In the absence of an NCD, […]
How do I report Medicare Fraud and Abuse?
Medicare fraud and abuse can happen anywhere, and usually results in higher health care costs and taxes for everyone. Some examples include: – A provider that bills Medicare for services or supplies they never gave you, like charging you for a visit you never had, or a back brace you never got. – A provider […]