Social Security Act 1861(s) Medical And Other Health Services
Social Security Act 1862(a)(7) does not extend coverage to screening procedures.
42 CFR (Code of Federal Regulations):
410.73 Clinical social worker services
410.74 Physician assistants’ services
410.75 Nurse practitioners’ services
410.76 Clinical nurse specialists’ services
MLN Matters Number SE0441 “Incident to” Services.
CMS Publication 100-02: Medicare Benefit Policy Manual, Chapter 15 - Covered Medical and Other Health Services:
§80.2 Psychological and Neuropsychological Tests
§160 Clinical Psychological Services
§170 Clinical Social Worker (CSW) Services
§210 Clinical Nurse Specialist (CNS) Services
CMS Publication 100-03: Medicare National Coverage Determinations (NCD)Manual, Chapter 1- Coverage Determination, Part 1, Sections 10-80:
§30.1 Biofeedback Therapy
CMS Publication 100-04: Medicare Claims Processing Manual, Chapter 12 - Physicians/Nonphysician Practitioners:
§120 Nurse Practitioner (NP) and Clinical Nurse Specialist (CNS) Services Payment Methodology
§120.1 Limitations for Assistant-at-Surgery Services Furnished by Nurse Practitioners and Clinical Nurse Specialist
§150 Clinical Social Worker (CSW) Services
§160 Independent Psychologist Services
§170 Clinical Psychologist Services
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