A provider has set a standing office policy that states EKGs should be ordered and performed on all patients over the age of 35 regardless of their medical condition or complaint. What would be the common denial for this scenario?

Lack of medical necessity

Lack of an appropriate NPI number

Inappropriate place of service

Lack of a referring physician

Answer rating: 100% (QA)

In this scenario the common denial reason would likely be Lack of medical necessity Insure... View the full answer