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This was published in the Federal Register last week, correct? I have a friend who is in a battle with an insurance company over a very sick child. They are always throwing up obstacles for coverage.
She told me that out-of-network treatment is covered at 50% of 200% of Medicare rates. So we are trying to uncover exactly what that rate is. Is the CMS Final Rule document what I am looking for to help her?
Is Coder here? Expert insight would be so appreciated