42 CFR §422.101(b)

September 5, 2020 4:54 pm Published by

(b) Comply with – (1) CMS’s national coverage determinations; (2) General coverage guidelines included in original Medicare manuals and instructions... View more

42 CFR §422.566(d)

September 3, 2020 3:47 am Published by

If the MA organization expects to issue a partially or fully adverse medical necessity (or any substantively equivalent term used... View more