by scott*eric

Question by pumpernickel: If Medicare refuses to pay, is medical malpractice involved?
“This service cannot be paid when provided in this location/facility”. This is written on the Medicare summary.
Why would a government agency refuse to pay for a treatment in an ER? Is it possible that it is illegal to do certain procedures or to give certain drugs/medications in an ER?
Medicare covered part of the claim but not the part for the drug.

Best answer:

Answer by Barry auh2o
The facility simply did not sign an contact with Medicare. There’s nothing illegal about that, nor is there any indication of malpractice.

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