Medical Necessity determination.
NCDs and LCDs
This repository will continue to evolve. We are actively developing various coverage determinations. This repository contains CQL files for prepopulation of questionnaire and also the rules to extract data from FHIR server, data requirements, questionnaires in the form of resources, libraries, associated valuesets,
You can find CQL logic for decision making too.
We are looking for active contributors, verifiers and testers for this effort.
If interested, please reach out to us.
Coverage Determinations folder contains the artifacts which will be based on LCD or NCD.
| Category | Use Case |
|---|---|
| Eye | Blepharoplasty |
| Eye | Opt |
| Transplantation | Intestinal Transplant |
| Transplantation | Pancreas Transplant |
| Transplantation | Adult Liver Transplant |
| Renal And Genitourinary System Esrd Services | Cryosurgery |
| Renal And Genitourinary System Esrd Services | Sacral Nerve Stimulation |
| Ear Nose And Throat | Rhinoplasty |
| Cardiovascular System | Ventricular Devices |
| Cardiovascular System | Vein Ablation |
| Cardiovascular System | Diagnostic Ees Pacing |
| Immunology | Eci Proteina |
| Oncology | Colorectal Cancer Screening |
| Prosthetics | Lower Limb Prostheses |
| Nervous System | Vagus Nerve |
| Nervous System | Lard |
| Gastrointestinal System | Anti Gastroesophageal |
| Complementary And Alternative Medicine | Botulinum |
| Complementary And Alternative Medicine | Panniculectomy |
| Hematology | Apheresis |
| Hematology | Ai Coagulant |
Samples folder contains just examples which can be used as reference only.