The Centers for Medicine & Medicaid Services (CMS ) requested that AHRQ commission an evidence report to assist in updating the CMS policy regarding cardiac catheterization in freestanding clinics.
The Coverage Issues Manual's (CIM) sections 35-45 have been found to be in error by the Centers for Medicare and Medicaid Services (CMS). According to the policy, cardiac catheterization may be covered at a freestanding clinic if the carrier determines that the procedure can be carried out there safely in every way, after consulting with the relevant Peer Review Organization. Beginning in the early 1990s, the Peer Examine Organizations—recently renamed Quality Improvement Organizations—ceased to review primary freestanding cardiac catheterization facilities. We are not aware of any new information that suggests there is a higher risk of adverse events at these freestanding clinics since the adoption of CIM 35-45. In order to assess the facts and make the necessary corrections, CMS is opening this policy.
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