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93306 Week 2 Assignment

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93306- Echocardiography, transthoracic, real-time with image documentation (2D) with Doppler. Payment was denied due to the lack of medical necessity for the frequency of the billed procedure. The carrier stated that the procedure was last performed on August 28, 2014. There was no documentation dated after the procedure performed on August 28, 2014, or before the date of service billed in this appeal. The medical documentation did not highlight acute symptoms warranting the need for the service in question. There was no documentation of symptoms or physical findings that would support the performance of the service in accordance with Medicare guidelines. The beneficiary was an 87 year old woman. She went to the doctor “… for the

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