OpenPlacement Community > Questions > U.R. Plan Requirements

U.R. Plan Requirements

asked July 23, 2014 | 3 followers | follow


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,

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