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Due to the high cost of these medications, many insurance plans impose strict qualification criteria, which can vary depending on the specific plan,” said Eldad Einav, MD , board-certified cardiologist and obesity medicine specialist at Drugwatch.
That means a year of treatment could cost almost $50,000 without insurance or Medicare. Aside from Medicare, Medicaid, and insurancecoverage, there are a few other factors that can influence it. Some plans may also require patients to try other medications first, a restriction known as step therapy.
Coding errors will most likely lead to n claim denials and delayed payments if medical necessity is not correctly represented or coding guidelines and best practices were not followed. Getting this process wrong is detrimental to any revenue collections resulting from availing services to the patient.
Another study analyzed the medicalrecords of over 200,000 heart attack patients to compare the effectiveness of different beta blockers, including metoprolol, propranolol, and atenolol. However, prices for these drugs can vary based on insurancecoverage, pharmacy, and location.
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