tci Medicare Compliance & Reimbursement - 2015 Issue 7

Reimbursement: Jump Through These Hoops To Get Medicare Payment For Lung Cancer Screening

Check criteria for determining most at-risk Medicare patients. Good news: For the first time ever, you can now get Medicare reimbursement for lung cancer screening. But make sure you meet these criteria before submitting the claims. On Feb. 5, the Centers for Medicare & Medicaid Services (CMS) announced the National Coverage Determination (NCD) to reimburse screening for lung cancer with low dose computed tomography (LDCT). Lung cancer is the third most common cancer and the leading cause of cancer deaths, according to CMS. Why Coverage Decision Took So Long With such prevalence and mortality related to lung cancer, you...

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