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Defining “reasonable & necessary”

This article was originally published in The Gray Sheet

Executive Summary

CMS likely will issue a proposed rule defining the agency's interpretation of its statutory authority to provide coverage, Coverage & Analysis Director Steve Phurrough said Nov. 9 at the Medical Device Manufacturers Association's Reimbursement & Health Policy conference in Washington, D.C. Stakeholders have resisted such a national coverage decision process in the past, he noted (1"The Gray Sheet" May 19, 2006, p. 11)...

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