Under these new rules and guidelines, the patient no longer requires a letter of approval. Meaning that if your tending physician doesn’t see a need for you to get tested, but you want to get tested anyways, you can now.
Effectively, CMS will pay hospitals for the changes and help transition over the changes for people that will be affected by it.
Overall, this is a good change for CMS and Medicare guidelines. An issue facing the previous rules for Medicare was how testing was completely misaligned and did not work all the time.
Additionally, it made it very difficult for seniors who considered themselves at higher risk, and were struggling to get any test.
Luckily, CMS’s changes are going to make that easier for seniors and those with preexisting conditions.
Stay tuned here at Scoophash for more updates on Medicare and CMS!