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Focus on Regulation

Tag Archives: Coverage

CMS Issues New Notice on Its National Coverage Determination Process

CMS has issued a notice announcing updates to the process it uses for opening, deciding, or reconsidering national coverage determinations (NCDs).  The notice provides further guidance on external requests and internal review for new or reconsidered NCDs.  Perhaps the most novel aspect of the notice is a new “expedited administrative process” to remove certain NCDs,

CMS Releases New List of Potential NCD Topics

On November 27, 2012, the Centers for Medicare & Medicaid Services (CMS) released a new list of Potential National Coverage Determination (NCD) Topics.  This list was released more than a year after CMS had solicited public input on items and services that may be inappropriately used or provide minimal benefit or items and services that

MEDCAC Discusses Future of Coverage with Evidence Development

The Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) held a day-long meeting on May 16, 2012 to discuss Coverage with Evidence Development (CED). This meeting is part of a larger effort by CMS to reconsider its use of CED, a Medicare policy in which an item or service that would not otherwise be considered