tci Medicare Compliance & Reimbursement - 2005 Issue 9

LONG-TERM CARE: Future May Brighten For Blood Glucose Monitoring Claims

Review of related policy could boost funding for careWish Medicare Part B was more generous in covering claims for monitoring diabetic residents' blood glucose levels? Hope may be on the horizon.An administrative law judge has decided in favor of a long-term care provider who challenged denials for blood glucose monitoring claims, reports Dawn Segler, a consultant with Moore Stephens Lovelace in Clearwater, FL.The judge stated that requiring the physicians to check blood glucose results as frequently as Medicare requires to qualify for Part B reimbursement would in effect "discourage monitoring of blood glucose levels and would contradict...

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