PALTmed resolves to open immediate dialogue with HCFA to urge elimination of statistical quotas by fiscal intermediaries as a means of determining medical necessity for physician visits in the long term care continuum; and
BE IT FURTHER RESOLVED, that PALTmed should work closely with HCFA to promote PALTmed's position statement on medical necessity for physicians visits in the long term care continuum; and be it further
BE IT FURTHER RESOLVED, that PALTmed should work with HCFA to develop an impartial appeals board to resolve disputes regarding medical necessity issues for each contractor (fiscal intermediary) utilizing physicians not directly employed by the contractor, and who are trained and practicing in LTC or geriatric medicine.
Note: Effective August 13, 2024, AMDA - The Society for Post-Acute and Long-Term Care Medicine is now Post-Acute and Long-Term Care Medical Association (PALTmed).