OpenPlacement Community > Questions > U.R. Plan Requirements

U.R. Plan Requirements

asked July 23, 2014 | 3 followers | follow

Colleagues,

May I ask how others have addressed the Medicare CoP requirement for
“medical necessity of professional services furnished, including drugs
and biologicals” in your U.R. plans? Have you made this a separate
component of medical necessity reviews? Are you working with Pharmacy
and Therapeutics Committees to obtain info?

Would appreciate hearing how others have covered this in their plans.

Many thanks,
Caitlin

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