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CMS releases two NCD guidance documents

Physician Practice Advisor, April 19, 2006

The Centers for Medicare & Medicaid Services (CMS) has released the first two in a series of final guidance documents about Medicare's national coverage determinations (NCD) process, according to a CMS press release.

The two guidance documents detail certain steps in the NCD process concerning CMS' determinations of whether an item or service is reasonable and necessary, and explain the factors CMS considers when

CMS plans to issue a third guidance document to explain the factors it considers when referring issues to the Medicare Coverage Advisory Committee (MCAC) for independent advice and public input on specific clinical topics.

Click here to view the guidance documents.

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