Home | 7/17/2017 Issue | Article

Does ‘the patient’s wife insisted’ meet medical necessity?

Published Jul 17, 2017
Last Reviewed Jul 13, 2017
Question: A doctor's note on a patient taking treatment for a shingles outbreak reads, "I did not recommend I&D [incision and drainage], but the patient's wife insisted." Is the provider admitting a lack of medical necessity, rendering the procedure unbillable to insurance (Medicare or other)?
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