HCFA clarifies application process for pass-throughs
Providers who want clarification about the application submittal process for new technology services and transitional pass-through payments under the outpatient prospective payment system now have some help. Applications may be submitted that include a number of similar models, says the Health Care Financing Administration (HCFA) in Baltimore. HCFA provides these tips for application:
• Models included must be reasonably similar with respect to the information requested in the application, in particular, cost and clinical use (as indicated by use in the same or comparable ambulatory payment classifications). If the items are not reasonably similar, separate applications should be filed.
• All models included under a single trade name should be listed and identified with appropriate information that distinguishes one model from another (such as size, style, or other pertinent characteristic).
• Copies of the Food and Drug Administra-tion’s (FDA) approval/clearance letters should be submitted for all models. If a single approval/ clearance letter applies to multiple models, indicate to which models it applies. (If different models have different FDA approval/clearance dates, separate applications are not required for this reason alone.)
Questions concerning the application process may be addressed to Barry Levi. E-mail: blevi @hcfa.gov. Telephone: (410) 786-4529. Or contact Marjorie Baldo. E-mail: [email protected]. Telephone: (410) 786-4617.
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