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  • Title: Medicare program: review of national coverage determinations and local coverage determinations. Final rule.
    Author: Centers for Medicare & Medicaid Services (CMS), HHS.
    Journal: Fed Regist; 2003 Nov 07; 68(216):63691-731. PubMed ID: 14610762.
    Abstract:
    This final rule will create a new process to allow certain Medicare beneficiaries to challenge national coverage determinations (NCDs) and local coverage determinations (LCDs). It will implement portions of section 522 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000. The right to challenge NCDs and LCDs will be distinct from the existing appeal rights that Medicare beneficiaries have for the adjudication of Medicare claims.
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