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Conditions of Coverage and
Draft Interpretive Guidelines What Nephrology
p
GY RDS Need to Know
September 18, 2008Introduction, Background and
Rationale for Change
Maria Kraals, MBA, RD, LIN
CRN ChairDisclaimers
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What is conditions of coverage and?
The conditions of coverage specify the requirements and guidelines that must be met in order to receive insurance coverage.
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Insurance providers and healthcare facilities are typically required to file conditions of coverage.
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Conditions of coverage can be filled out electronically or on paper, following the guidelines provided by the governing body.
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The purpose of conditions of coverage is to ensure that insurance coverage is provided only to those who meet the necessary requirements.
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Information such as patient demographics, medical history, treatment plans, and insurance information must be reported on conditions of coverage.
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