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Medicare Appeals Rule Expedited By Visudyne Settlement; MCAC To Convene

This article was originally published in The Gray Sheet

Executive Summary

CMS' Medicare Coverage Advisory Committee will review initial data from QLT, Inc.'s Phase III trial investigating Visudyne (verteporfin) ocular photodynamic therapy in age-related macular degeneration patients with occult lesions

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Medicare “Phases In” Changes To Claims Appeals Process, Starting In May

At least four Medicare-contracted entities will provide a second level of appeals for beneficiaries seeking to overturn claims redeterminations that carriers issue after December

Medicare “Phases In” Changes To Claims Appeals Process, Starting In May

At least four Medicare-contracted entities will provide a second level of appeals for beneficiaries seeking to overturn claims redeterminations that carriers issue after December

Visudyne/PDT Treatment “More Effective” Than Placebo – MCAC

Coverage of ocular photodynamic therapy with QLT/Novartis' Visudyne (verteporfin) in patients who have age-related macular degeneration and occult lesions with no classic choroidal neovascularization (CNV) should be restricted to those with small lesions, according to several MCAC panel members

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