tci Medicare Compliance & Reimbursement - 2024 Issue Q3

Reader Questions: Patients May Need to Choose Between Benefit Programs

Question: One of our patients mentioned to a nurse that they were receiving continuing glucose monitoring (CGM) supplies from both Medicare and the Veterans Administration (VA). They are covered by both, but I’m not sure it’s OK for them to get double the supplies by going through both programs. The patient says they won’t try to get supplies from both anymore; but, out of curiosity, is this something the Centers for Medicare & Medicaid Services (CMS) and the VA allow? Washington, D.C. Subscriber Answer: In the Medicare Learning Network (MLN) booklet Items and Services Not...

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