Did you know that not all Mammograms are reimbursed by Medicare?
When referring a patient for a mammogram, it's crucial to understand the circumstances under which Medicare will provide rebates. Ensuring that clinical notes are thorough and accurate is key for successful referrals.
Here are the essential elements to include:
* Clinical Symptoms/Indications: Document any tenderness, pain, skin dimpling, or swelling.
* Previous History of Breast Cancer: Note any relevant past diagnoses.
* Family History: Include information about parents, siblings, and grandparents with breast cancer, as this helps establish risk factors.
* Changes in Shape or Size: Detail any alterations in the breast(s).
* Thickening or Lumps: Specify any thickening, lumps, or lumpy areas, including differentiating between cysts and solid masses.
* Follow-Up for Calcifications: Mention if this is for monitoring previously identified calcifications.
Accurate documentation not only aids in patient care but also ensures compliance with Medicare requirements. Let's work together to provide the best support for our patients!