Chapter 7
Medicare Medical Policy Bulletins

7.1 Overview

A list of the most current version of the Medicare Medical Policy Bulletins may obtained by: writing to our FOIA department (see chapter 1, section 1.8, utilizing our internet site at www.hgsa.com (click on “Health Care Professionals”, then click on “Medical Policy”). When calling our Faxback system, the first thing you need to do is order a catalog of available documents. After receiving the catalog, you can call back and order documents by their assigned number. As a reminder, please have your provider identification number (PIN) readily available-you will need to enter it when prompted by the system.

7.2 Freedom of Information Act

The Freedom of Information Act (FOIA) enacted in 1966 establishes a presumption that records in the possession of agencies and departments of the Executive Branch of the United States Government are accessible to the community. The FOIA sets standards for determining which records must be disclosed and which records can be withheld. Also, the law provides administrative and judicial remedies for those denied access to records. Above all, the statute requires federal agencies to provide the fullest possible disclosure of information to the public.

The Privacy Act of 1974 is a companion to the FOIA. The Privacy Act regulates federal government agency record keeping and disclosure practices. The Act allows most individuals to seek access to federal agency records about themselves. The Act requires that the personal information in agency files be accurate, complete, relevant, and timely.

While neither law grants an absolute right to examine government documents, both laws establish the right to request records and to receive a response to the request.