tci Medicare Compliance & Reimbursement - 2005 Issue 18

POLICY REFORM: Calling All NCD Critics- Medicare Wants Your Input

CMS seeking feedback in effort to fine-tune NCD process.Providers interested in being heard can give the Centers for Medicare and Medicaid Services their opinions on how it should weigh evidence in deciding whether to cover an item or service.On April 7 the agency issued draft guidance to improve Medicare's National Coverage Determination (NCD) process using a new policy, called coverage with evidence development (CED). CMS will use the CED policy when a medical intervention lacks conclusive data supporting positive health outcomes or when sufficient data supports a medical intervention's effectiveness, but not medical necessity. Don't Forget About...

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