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CMS re-commits to gap filling

October 4, 2019Liz Beaulieu, Editor

WASHINGTON - Industry stakeholders agree that fee schedule amounts for new technology are an issue that needs to be addressed, but when CMS publishes its final rule in the next few weeks, they say the best-case scenario might be the status quo.CMS published a proposed rule in July detailing a framework for establishing fee schedule amounts for new HCPCS codes, but it still relies on a gap-fill methodology that stakeholders say—and even CMS itself has said in the past—is flawed. “I...

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