The Centers for Medicare & Medicaid Services (CMS) requests that DME Medicare Administrative Contractors (MACs) evaluate and guide clinical complex reviews by making sure that the reviews for coverage determinations are made by skilled medical professionals: Registered Nurses (RNs), therapists or physicians.
Subject: Credentials of Reviewers
Release Date: August 11, 2017
Effective Date: September 12, 2017
Implementation Date: September 12, 2017
Special Notes: N/A