Medicare: Mandatory Information on Breast Reconstruction Coverage After Mastectomy.
This law mandates that healthcare providers must inform Medicare patients undergoing a mastectomy that breast reconstruction surgery is a covered benefit. If the provider fails to give this information and document it in the medical record, Medicare will withhold payment for the mastectomy procedure. This change ensures patients are fully aware of their rights and options regarding post-mastectomy care.
Key points
Providers must inform Medicare patients about the coverage of breast reconstruction surgery following a medically necessary mastectomy.
Medicare payments for mastectomies will be withheld if this required information is not provided and documented.
The rule takes effect one year after enactment, enhancing patient awareness of their post-operative rights.
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