Tricare criteria

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Tricare criteria

Postby burchab1 » Sat Aug 25, 2018 6:31 am

So, am I correct in thinking Medicare has a 4% desaturation rule and the other insurance companies use 3%? What about Tricare? I was under the impression that they used the Medicare guidelines. Am I correct or am I whack?

Thanks
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Re: Tricare criteria

Postby TFloyd » Tue Aug 28, 2018 3:41 am

I think you will find most insurances follow the 4% criteria. I was surprised, given the AASM's stance. They need to get more active in their lobbying efforts.
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Re: Tricare criteria

Postby RayMeece » Fri Sep 21, 2018 7:34 am

The correct answer lies in your Lab's protocol. I have been in a lab that scored all gov't insurance at 4% (M'caare, M'caid, Tricare, etc) with everyone else at 3%. My current lab only does Actual M'care and M'caid at 4%. All privates and HMO, PPO, or non- traditional MCR/Mcaid at 3%. Go figure....
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