Section 1862 (l) and Section 1869 (f)(2)(B) of the Social Security Act (the Act) sets forth general procedures to develop and evaluate Medicare coverage determinations that are either adopted nationally by CMS or created and applied locally by a Medicare Administrative Contractor (MAC) within the MAC’s own jurisdictional boundaries.
This week’s Medicare updates include three new OIG work plan topics, updated payment and coding information for the Pfizer-BioNTech COVID-19 vaccine, the 2021 Clinical Laboratory Fee Schedule changes, and more!
This week’s Medicare updates include an infographic on monoclonal antibody coverage, a revision to a Special Edition MLN Matters article on COVID-19 PHE flexibilities for rural health clinics, updated FAQs on billing for services related to COVID-19, and more!