tci Medicare Compliance & Reimbursement - 2021 Issue Q4

Industry Notes: CMS Proposes Reversal of MCIT Final Rule

Medicare coverage for groundbreaking technology may need a few more touchpoints than originally promised, a new proposed rule suggests. Then: The Centers for Medicare & Medicaid Services (CMS) published the ‘‘Medicare Program; Medicare Coverage of Innovative Technology (MCIT) and Definition of ‘Reasonable and Necessary’” final rule on Jan. 14, 2021, in the Federal Register with an implementation date of March 15, 2021. This finalized rulemaking aimed to cut “delays and uncertainty in Medicare coverage” for Food and Drug Administration (FDA)-designated breakthrough devices. Under the final rule, the feds offered four years of expedited Medicare...

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