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NJPTAid Newservice Item: Medicare NCD Process
Posted on Friday, January 27 @ 03:06:12 EST by Ken Mailly |
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Interest Area: Medicare
Priority: Low
Two Items of interest were released by CMS today regarding National Coverage Determinations (NCDs). One is to announce an investigation of the validity of claims made related to Near-Infrared and Monochromatic Infrared Energy devices.
The second item concerns the “iBOT” device, which is intended to be used in patients with “long-term mobility impairments”.
The purpose of both these investigations, is to determine whether Medicare should cover use of these devices.
Infrared Therapy Devices:
Posted new tracking sheet.
“In accordance with Section 1862(l) of the Social Security Act, we have internally generated a national coverage determination request to determine if there is sufficient evidence that infrared devices are reasonable and necessary for the treatment of Medicare beneficiaries.”
https://www.cms.hhs.gov/mcd/viewtrackingsheet.asp?id=176
Medicare Coverage Documents - Benefit Category Determinations
INDEPENDENCE iBOT 4000 Mobility System: An Interactive Balancing Mobility System
Posted tracking sheet announcing opening of National Benefit Category Analyses
“We have received a formal and complete request to develop a NCD providing for coverage of the iBOT 4000 Mobility System under the DME benefit and under the generic term “Interactive Balancing Mobility Systems.” We have not made a benefit category determination for the Interactive Balancing Mobility System. As determinations of benefit categories are a prerequisite for determinations of reasonableness and necessity, we are opening a formal review of the benefit category determination as part of the NCD process.
https://www.cms.hhs.gov/mcd/ncpc_view_document.asp?id=5
Mailly & Inglett Consulting, LLC
Tel. 973 692-0033
Fax 973 633-9557
68 Seneca Trail
Wayne, NJ, 07470
www.NJPTAid.biz
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Confidentiality Note: This electronic mail is a communication from M & I Consulting is neither privileged, confidential nor otherwise protected from disclosure. This information contained herein, may be freely copied, printed, forwarded or otherwise dissseminated, provided that this disclaimer is included.
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