Healthcare Finance News October 3, 2018
Reforms to local coverage determination process will increase transparency and patient engagement to ensure beneficiaries can get the latest benefits
WHAT HAPPENED
As part of a broader effort to modernize the Medicare program through IT and innovation, the Centers for Medicare and Medicaid Services today announced changes to the way contractors decide which technologies are covered.
CMS has revised its Medicare program integrity manual in updates that follow 21st Century Cures Act requirements for more transparency in the local coverage determination, or LCD, process.
In this first revision since August 2015, the manual has been revamped as a roadmap for the LCD process.
It lays out CMS’s expectations for Medicare Administrative Contractors. MACs determine which healthcare items and...
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