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Senate Renews Efforts to Reform LCD Processes

Efforts to improve the local coverage determination process have been renewed with the introduction of the Local Coverage Determination Clarification Act of 2017. The proposed bill is the result of bipartisan efforts—sponsored by two Democrats and four Republican senators—and revises the process by which Medicare contractors set local policies for Medicare coverage of physician services, creating more transparency and imposing additional procedural requirements. “The Senate bill would ensure that coverage decisions are made by qualified independent health experts through a transparent process that is based on sound medical evidence,” explained College of American Pathologists President Richard C. Friedberg, MD, PhD, FCAP, in a statement praising the legislation and thanking its sponsors for their efforts to fix a “broken” LCD process. 


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INDUSTRY NEWS TAGS: CMS


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