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CMS In Brief

Updates from the 2013 Medicare physician fee schedule and hospital outpatient prospective payment system proposed rules, and other CMS news.

CMS says it plans significant revisions to its evaluation criteria for selecting intraocular lenses to receive a bonus “new technology” payment in its 2013 hospital outpatient prospective payment system proposal released July 6. The agency says it wants to improve the quality of applications submitted to its new technology intraocular lenses (NTIOL) program. “In recent years, we have received low quality NTIOL applications that may have been due in part to overly-broad evaluation criteria,” CMS acknowledges in its OPPS proposed rule.

Under the new proposal, IOLs would need to show that a new lens characteristic compares favorably to currently available IOLs and that claimed clinical benefits are “supported by evidence that...

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