The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 provides Medicare coverage for cardiovascular screening tests starting January 1, 2005. Which tests will be covered, how often they can be performed, and who qualifies for this coverage must be determined by CMS during the coming months. Today we will discuss some of the decisions CMS must make and the timeline for implementing this important new benefit. As always, please feel free to submit questions or comments concerning this or any other CodeMap Compliance Briefing via email.
Charles Root, Ph.D.
Cardiovascular Screening Coverage
Section 612 of The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (the Act) defines "cardiovascular screening blood tests" as either "cholesterol levels and other lipid and triglyceride levels" or "such other indications associated with the presence of, or elevated risk for, cardiovascular disease," as CMS may approve for all or some individuals. In other words, lipids and triglyceride le....
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