https://www2.ccwdata.org/web/guest/condition-categories-chronic 19. Economic Research Service, US Department of Agriculture. Rural-urban commuting area codes. Accessed December 14, 2022. https://www.ers.usda.gov/data-products/rural-urban-commuting-area-codes/ 20. SteelFisher GK, Epstein ...
Step Therapy: Step therapy requires you to try certain lower-cost or preferred prescription drugs first before the plan will cover a more expensive alternative. If the preferred prescription drugs are effective for your condition, ...
could fix this pretty easily. Just issue aCMS Rulingstating definitively and clearly that skilled nursing and therapycanbe covered to maintain a patient’s condition or slow deterioration. It’s the law. Disseminate theRulingto all Medicare providers and adjudicators. Post it on the CMS website....
the Secretary will (1) use the claims data experience of patients by the patient condition codes during a common period, such as 12 months, and (2) use the claims data experience of patients by care episode codes in the case of episodes both with and without hospitalization...