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Gastric sleeve surgery: What you need to know
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Not universally covered: state formularies differ, so check before you administer the drug to a Medicaid patient Rates are not standardized: AMP, MAC, and negotiated prices vary by state and update on their own schedules Prior authorization: some state programs require prior authorization before an injectable antiemetic is covered Dual-eligible coordination: Medicare pays first, and Medicaid covers cost-sharing only where both programs cover the service Documentation requirements for J3250 A J3250 claim has to be traceable to the chart entry made on the day of service
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