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96402 MUE denials

tkermode

Networker
Messages
32
Location
Red Bluff, CA
Best answers
0
I would like to request the help of anyone else who gets MUE denials for patients getting fulvestrant and lupron on the same DOS.

I am submitting a request for reconsideration of the MUE value to CMS in the hopes that they will up it from 2 to 3 (to match 96401).

If anyone else also gets these denials, I would love it if you could also submit a request to CMS at NCCIPTPMUE@cms.hhs.gov

Perhaps if they get messages from several people/organizations, they will be more likely to respond.

I can send a copy of the email I sent with references and information, if anyone wants to use it as a template.

Any help is appreciated!
 
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