No, ACA has rules for breast screening coverage. If it was a screening mammo and USlike this. If it was done to someone under 40 or not high risk it would not be a screening exam. If it was a diagnostic exam that is completely different. It would be covered under the general policy with copay/maximums etc. Screenings and diagnostic mammograms/US are different and not covered under preventive medicine.
That whole diagnostic vs preventative thing we do is so stupid. The raw cost of most tests is nothing. Labwork for example, they only run one or two tests (sugar, cholesterol) unless you request more, but don’t say you’re in pain or it becomes diagnostic!
Meanwhile, at the actual lab, the machines run a myriad of tests on each sample as they’re designed to. So the back and forth about lab billing is asinine. The machines already calculated the results as a part of their standard operating procedure. Why not just return all results the machine generates regardless of query? Why not a full panel as SOP?
Why not make body scans SOP at a younger age so we have a baseline of what a person’s body operates at before they age? Etc.
They’ve inserted extra steps just for revenue-generating touch points. So damn backwards.
No, ACA has rules for breast screening coverage. If it was a screening mammo and USlike this. If it was done to someone under 40 or not high risk it would not be a screening exam. If it was a diagnostic exam that is completely different. It would be covered under the general policy with copay/maximums etc. Screenings and diagnostic mammograms/US are different and not covered under preventive medicine.
That whole diagnostic vs preventative thing we do is so stupid. The raw cost of most tests is nothing. Labwork for example, they only run one or two tests (sugar, cholesterol) unless you request more, but don’t say you’re in pain or it becomes diagnostic!
Meanwhile, at the actual lab, the machines run a myriad of tests on each sample as they’re designed to. So the back and forth about lab billing is asinine. The machines already calculated the results as a part of their standard operating procedure. Why not just return all results the machine generates regardless of query? Why not a full panel as SOP?
Why not make body scans SOP at a younger age so we have a baseline of what a person’s body operates at before they age? Etc.
They’ve inserted extra steps just for revenue-generating touch points. So damn backwards.
You said it yourself. Co-pays, and deductibles.