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Vitamin D Levels

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Yikes, everyday seems to be bringing on new issues. I have an elderly lady with

osteoporosis, kyphosis, height shrinkage, etc who was asking about checking

Vitamin D levels to see if she needs extra supplement. I complied, thinking no

big deal, it is all over Oprah/Dr. Oz/etc and everyone is talking about it. Now

the patient called stating that Medicare will not pay for the test unless I

write a letter of medical necessity. My first thought was to write, Test was a

medical necessity. Period. Amen.

Any thoughts?? Are you guys ordering them?? It is the patient who gets stuck

paying Quest though because they signed the advanced blah, blah, blah notice. I

really don't want to have anything to do with medicare right now with this 21%

paycut and our checks being held while they try to figure out if they will

really go though with the paycut or not.

Margaret Coughlan

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