Healthcare Glossary - CONTRACTOR POLICY | HealthPocket

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Glossary

CONTRACTOR POLICY

Policy developed by CMS Contractors (PSC, AC, FI, or carrier) and used to make coverage and coding determinations. It is developed when:

  • there is an absence of national coverage policy for a service or all of the uses of a service;
  • there is a need to interpret national coverage policy; or
  • local coding rules are needed.

 

 

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