Appeal Letter Template Modifier 59 Denial | Practicing DPMs | APMA
Appeal Letter Template Modifier 59 Denial

Appeal Letter Template Modifier 59 Denial Members Only Content

There are many instances when both nail debridement and callus debridement are performed at the same visit to individuals who qualify for at-risk foot care. Medicare Advantage Organizations (MAOs) contract with CMS to offer Medicare Advantage Plans (MAPs). MAOs offering Medicare Advantage Plans are required to cover all Part A and Part B benefits and do not have to reimburse contracted providers in the same manner as Medicare-fee-for-service. MAOs can have their own payment policies and institute their own utilization review mechanisms applicable to their contracted providers.

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