Medical Review After the COVID-19 Public Health Emergency: New FAQ

On November 17, 2022 CMS released a new Frequently Asked Questions about how CMS review contractors will conduct medical reviews after the COVID-19 public health emergency. Their answer states in part, "Since clinical indications for coverage were not enforced for certain DME items provided during the PHE, once the PHE ends CMS plans to primarily focus reviews on claims with dates of service outside of the PHE..." Please review the complete answer on CMS.gov at the link provided above.

Last Updated Jan 10 , 2023