tci Medicare Compliance & Reimbursement - 2020 Issue Q1

Policy Update: Know All the Facts on New Acupuncture Coverage Changes

Caution: Review provider restrictions to avoid denials. If acupuncture services are on your radar as a helpful offering to alleviate your patients’ pain, you’ll be excited to know that Medicare will now reimburse for the treatment option. Then: Last July, the Centers for Medicare & Medicaid Services (CMS) proposed adding acupuncture to its list of covered services as an alternative to opioids for managing lower back pain (see Medicare Compliance & Reimbursement, Vol. 45, No. 14). Now: On Jan. 21, CMS released a National Coverage Determination (NCD) change and will now pay for acupuncture services, indicates an NCD...

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