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HCFA non-coverage decision of electrical stimulation for wound treatment enjoined by federal court.

This article was originally published in The Gray Sheet

Executive Summary

HCFA NON-COVERAGE OF ELECTRICAL STIMULATION FOR WOUND TREATMENT needs "a better explanation," Massachusetts federal court Judge George O'Toole declares in a Nov. 18 ruling that will require the Health Care Financing Administration to reimburse for the treatment. HCFA's decision "is so inadequately supported" by the evidence presented before the court that it justifies a new determination by the agency, according to Judge O'Toole.

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