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Aggrieved beneficiaries get a fast track in updated Medicare coverage decision process.
An overhauled method of issuing national coverage decisions could clear some of the murk from the process of securing Medicare coverage for new products and services.
In a final rule published in the Sept. 26 Federal Register, the Centers for Medicare & Medicaid Services updates the process it will use to issue Medicare NCDs. Among the new policies: a separate process for beneficiaries who need an item or service that isn't currently covered. CMS says it will issue NCDs in such cases in 90 days.
The rule...
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Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
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