tci Medicare Compliance & Reimbursement - 2004 Issue 29

COVERAGE: Will Medicare Pay For Your Obesity Treatments?

CMS Administrator says "medical science will decide." Though the ground hasn't broken yet, a new coverage determination from the Centers for Medicare & Medicaid Services could be the first tremor. A new policy unveiled July 16 by Health and Human Services Secretary Tommy Thompson clarifies CMS' position on obesity as a disease, rather than merely a co-morbidity. If medical and scientific evidence concurs, the move could open the doors to coverage of obesity-related medical interventions down the road. Confusing language in the Coverage Issues Manual which classified obesity as "not an illness" will be replaced. The CIM, explains...

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