Below are the questions received during our recent webinar: The Fallacy of "Not Documented, Not Done", originally presented on March 9, 2021. These questions have been answered by the webinar presenter, David Glaser, Attorney.
How are MACs able to come up with their own plan language and benefits that are statutorily excluded from Traditional Medicare? For example, Complete Physical exams. This is a statutorily excluded Medicare service – so how can MAC’s allow this?
I am not sure I totally understand the question. Are you asking about Medicare Advantage plans? I think you are, but MACs are Medicare Administrative Contractors so I want to make sure I am tracking this.
Medicare Advantage plans have to cover everything Medicare does, but they are free to offer ADDITIONAL coverage if they wish.
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