Services can be denied for all of the following reasons EXCEPT when:
A) the patient has a physical examination within 6 months of becoming a Medicare Part B subscriber.
B) the procedure is considered experimental.
C) there is a cap on the number of services allowed.
D) the service was not performed at an appropriate location.

Question

Quizplus · Accepted Answer

Services cannot be denied solely based on whether the patient has had a physical examination within 6 months of becoming a Medicare Part B subscriber. However, periodic health assessments and chronic care management services may be denied if such an exam has not been completed.

Services Can Be Denied for All of the Following Reasons