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What is an item or service that is statutorily excluded or does not meet the definition of any Medicare benefit?

a) Statutorily Excluded Item or Service
b) Medicare Benefit Definition
c) Local Coverage Determination (LCD)
d) Geographic Jurisdiction Award

User Adyusuf
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Final answer:

A 'Statutorily Excluded Item or Service' is anything that does not meet Medicare's benefit criteria or is explicitly excluded by law. Medicare has clear guidelines for what is covered, and any service or item not fitting those guidelines will not be included in the coverage.

Step-by-step explanation:

An item or service that is statutorily excluded or does not meet the definition of any Medicare benefit is called a Statutorily Excluded Item or Service. Medicare has specific guidelines that define what services and items are covered. If an item or service is not defined by Medicare as a covered benefit, or if it is explicitly excluded by statute, it will not be covered by Medicare. Examples include but are not limited to services for which there is no Medicare benefit category such as dental services (in most cases), hearing aids, or cosmetic surgery. Also, services not deemed medically necessary are often excluded as well.

In contrast, when determining whether Medicare covers a specific service, Medicare Benefit Definition refers to the set of criteria that Medicare uses to decide if the service falls under a covered category. Local Coverage Determination (LCD) is a decision by a Medicare Administrative Contractor (MAC) regarding whether a particular item or service is covered within their jurisdiction, whereas Geographic Jurisdiction Award pertains to the process by which MACs are assigned particular geographic areas.

User Jeremy Belolo
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