Quote:
Originally Posted by queasy27
I've had one instance of UH denying authorization for an MRI and me having to argue about it with them. That happens more frequently with Advantage plans than it does with original Medicare.
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When my wife was on regular Medicare she had a couple of echo tests denied because it they were too soon after the previous one. The same thing happened once after she transitioned to Advantage.
So I don't think test denials have anything to do with Advantage vs. regular. Advantage has to run under the same rules as regular Medicare and CMS, that runs Medicare, sets the rules for when and how often tests can be done.