Non-Medically Necessary vs. Statutorily Excluded Services: Understanding the Differences

Compliance, CPT, Payer Rules, Practice Management, Procedural Coding & Auditing, Revenue Cycle Management

Non-Medically Necessary vs. Statutorily Excluded Services: Understanding the Differences  Written by: Jennifer McNamara “That’s not covered.” It’s a phrase we hear all the time—but what does it really mean? There’s a definite distinction between non-medically necessary services and those that are statutorily excluded.  Understanding the difference between non-medically necessary and statutorily excluded services is essential…