There is mass confusion in my office regarding medicare, and a call to healthnow/dmerc simply got me an answering machine.
My question is, if medicare pays let's say 50 bucks (I think it's 52.44) towards a frame, would a patient pay 9 dollars for a 59 dollar frame and we bill medicare the rest? If so, what's the point of the "deluxe" frame category (any frame over $125)? If the patient pays the difference, I don't see how it matters if the frame is "deluxe" or not, and yet there's a code for this category.
My eternal gratitude to anyone who can answer this or point me to the answers!
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