Local Coverage Determinations Cannot Be Used to Limit Reimbursement for Medicare Covered Drugs


Kristin Cilento Carter of Ober|Kaler looks at an opinion issued on December 22, 2009 by the United States Court of Appeals for the District of Columbia Circuit, which held that regional Medicare

contractors are prohibited under the Medicare statute from utilizing local coverage determinations (LCDs) as a vehicle for limiting reimbursement for covered drugs.

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