Medicare Compliance & Reimbursement
Calling All NCD Critics- Medicare Wants Your Input
CMS seeking feedback in effort to fine-tune NCD process. Don't Forget About Safety Questions CED could also answer questions about a medical intervention's safety, as well as risks and benefits to the Medicare patient demographic. Opportunity: Submit feedback online at caginquiries@cms.hhs.gov. The deadline for comment submissions is June 5.
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On April 7 the agency issued draft guidance to improve Medicare's National Coverage Determination (NCD) process using a new policy, called coverage with evidence development (CED).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.
Watch for: CMS will hold an Open Door Forum on May 9 for public comment on many CED questions, such as:
To read the press release, go to www.cms.hhs.gov/media/press/release.asp?Counter=1423. For the complete draft guidance document, go to www.cms.hhs.gov/coverage/download/guidanceced.pdf.
Medicare Compliance & Reimbursement
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Calling All NCD Critics- Medicare Wants Your Input
CMS seeking feedback in effort to fine-tune NCD process.
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