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Tag: reasonable and necessary


CMS seeks to modify 'reasonable and necessary,' establish MCIT

September 1, 2020HME News Staff

WASHINGTON - CMS has published a proposed rule that seeks to codify in regulations the definition of “reasonable and necessary” with modifications, including adding a reference to Medicare patients and a reference to commercial health insurer coverage policies. CMS proposes that an item or service would be considered “reasonable and necessary” if it is safe and effective; not experimental or investigational; and appropriate for Medicare patients, including the duration and...

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