Certified Outpatient Coder (COC) Practice Exam 2025 – Comprehensive Test Prep

Question: 1 / 400

How long is a new category eligible for pass-through payment?

One year

At least two years but not more than three years, beginning on the date CMS establishes the category

A new category is eligible for pass-through payment for at least two years but not more than three years, starting from the date that the Centers for Medicare & Medicaid Services (CMS) establishes the category. This timeframe allows for the evaluation of the new technology's impact and utilization in clinical practice. During this period, hospitals can receive additional reimbursement for qualifying new technologies that meet specific criteria, encouraging the adoption of innovative treatments without financial burden on the providers.

The established timeframe ensures that pass-through payments are not indefinite, as these payments are meant to be temporary support to promote the successful integration of new technology into the healthcare system. It also emphasizes the need for thorough assessment of the effectiveness and necessity of such technologies, ensuring that CMS maintains control over spending and appropriately allocates resources.

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Five years

Indefinitely until further notice

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