Innovator's Guide To Navigating CMS

Law360, New York (November 7, 2008, 12:00 AM EST) -- Securing Medicare coverage (and payment) can be a critical step in furthering a successful business plan for a new or improved product or device. Not only does Medicare currently serve more than 45 million beneficiaries, many private payers follow Medicare's lead in recognizing coverage.

Medicare's guiding principle in making coverage determinations has always been the statutory requirement that precludes payment for items and services that are not “reasonable and necessary” for the diagnosis or treatment of illness or injury, or to improve the functioning of a...
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