Physicians Should Furnish Patient Record Data To HCFA Auditors - Committee
This article was originally published in The Gray Sheet
Executive Summary
Physicians who order diagnostic tests should supply HCFA auditors with relevant portions of patient medical records to support medical necessity in post-payment reviews when documentation is not sufficient to satisfy Medicare validity claims, according to a tentative consensus reached by the Health Care Financing Administration's Negotiated Rulemaking Committee for clinical diagnostic tests Sept. 14-16 in Washington D.C.
You may also be interested in...
Partisan Politics Returns To US FDA Congressional Oversight
The US FDA has stood out as an agency that tends to draw broad bipartisan support amid a generally rancorous and divided Congress. A House hearing, however, may be a sign that those days are over.
GLP-1 Coverage Restrictions In Medicare Part D Surge As Demand For Obesity Drugs Grows
A major shift from unfettered coverage to prior authorizations was recorded by MMIT over the past year for the leading GLP-1/GIP agonist diabetes drugs. Public interest in using the drugs off label for weight loss drove the change.
Roche Gets Adjuvant ALK+ Lung Cancer To Itself With Alecensa Approval
The US FDA cleared Roche’s supplemental approval request for ALK inhibitor Alecensa in ALK-positive non-small cell lung cancer following tumor resection.