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Tag: Local coverage determinations


Obscure court ruling could set powerful precedent

December 13, 2013Elizabeth Deprey

WASHINGTON - A 5th Circuit Court ruling over runny eggs could be just the ammunition HME providers need in cases involving ambiguous CMS guidelines.“People think this case is humorous because of the underlying facts, but it has implications for all types of Medicare providers,” said Edward Vishnevetsky, an associate with Munsch Hardt in Dallas. “This is the first time we've seen a court not defer to CMS's interpretations.”Prompting the ruling was an appeal filed by Elgin Nursing...

ALJs, CMS Guidelines, Denials, Edward Vishnevetsky, Local coverage determinations, Neil Caesar

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