CONTRACTOR POLICY

What is CONTRACTOR POLICY?

CONTRACTOR POLICY meaning Policy developed by CMS Contractors (PSC, AC, FI, or carrier) and used to make coverage and coding determinations. It is developed when:there is an absence of national coverage policy for a service or all of the uses of a service;there is a need to interpret national coverage policy; orlocal coding rules are needed.

 

reference: Centers for Medicare & Medicaid Services

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