Medical policy

View this agenda for the open meeting being held on July 23.

The following article provides a list of common terms used by the medical review department for prior authorization requests.

CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered)…

CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered)…

The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for anesthesia administered during selected spinal pain management (SPM)…

CMS clarified billing requirements for the screening for hepatitis C virus in adults. 

CMS clarified billing requirements for the screening for hepatitis C virus in adults. 

Medicare provides limited benefits for outpatient drugs. Drugs and/or biologicals purchased by the patient and taken to their physician's office for administration are not covered.

Contractor advisory committee (CAC) meeting information and upcoming CAC meetings

Contractor advisory committee (CAC) meeting information and upcoming CAC meetings