tci Medicare Compliance & Reimbursement - 2003 Issue 38

Coverage: COVERAGE DECISIONS COULD COME QUICKER

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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