CMS released the Notice of Benefit and Payment Parameters for 2019 final rule April 9 to give states additional flexibility when choosing benefits in essential health benefit benchmark plans offered under health insurance marketplaces.
A national coverage determination (NCD) related to implanted cardioverter defibrillators (ICD) is causing some confusion. The NCD was issued on February 15, and the changes, while billed as “relatively minimal,” may actually require significant process alterations.
Q: We are having trouble determining what qualifies a patient as having an acute myocardial infarction (MI) and what documentation would support the diagnosis. Can you help our coding team clarify?
