Archives: Coverage and Reimbursement

订阅覆盖范围和报销RSS源

修改医疗保险政策以支持用于共享葡萄糖数据的智能设备

医疗保险和医疗补助服务中心(CMS)最近宣布,将修订医疗保险覆盖政策,以“支持与智能手机一起使用[连续血糖监测仪],包括他们为病人及其家属提供的重要数据共享功能。该机构的承包商,known as Medicare Administrative Contractors (MACs),modified … 继续阅读

CMS Announces Enforcement Discretion for New Laboratory Date of Service Exception

本周,医疗保险和医疗补助服务中心(CMS)宣布(见此处公告),将在1月2日前行使强制裁量权。2019年为其新的医疗保险实验室收费规则服务日期例外。This agency action allows hospitals to continue to bill for affected advanced diagnostic laboratory tests (ADLTs) and molecular … 继续阅读

CMS发布最终规则,以实施PAMA对实验室测试补偿的更改。

Last week,the Centers for Medicare & Medicaid Services ("CMS") published in the Federal Register its long-awaited final rule implementing the significant payment and related changes for clinical diagnostic laboratory tests under the Medicare Clinical Laboratory Fee Schedule.  The changes were directed by the Protecting Access to Medicare Act of 2014 ("PAMA"),它建立了一个新的… 继续阅读

《罕见虚假索赔法》陪审团庭审中处理标示外问题的赔偿考虑

On April 7,2016,德克萨斯州一个陪审团以10比1的裁决认定,雅培实验室在销售用于非冠状动脉支架手术的非标签胆道支架时没有违反《虚假索赔法》(FCA)。这项裁决对其高达10亿美元的损失敞口具有重大意义,是在……之前的十年诉讼的高潮。 继续阅读
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