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Medical policy news
Modified: 2/2/2012
A revision was made under the “Indications and Limitations of Coverage and/or Medical Necessity” section of this LCD.
Modified: 2/2/2012
A revision was made under the “Indications and Limitations of Coverage and/or Medical Necessity” section of this LCD.
Modified: 1/20/2012
This article provides notification that editing was implemented to deny travel allowance and specimen collection when it is not being done to obtain a specimen for a covered laboratory service. This editing also applies when the covered laboratory service has not been billed.
Modified: 1/20/2012
Revisions made to this LCD to include the off-label indication of relapsed or refractory non-Hodgkin's lymphoma.
Modified: 1/20/2012
Revisions made to this LCD to include the off-label indication of relapsed or refractory non-Hodgkin's lymphoma.
Modified: 1/5/2012
Effective for claims with dates of service March 25, 2011, through October 15, 2011, YERVOY can be considered for coverage in certain circumstances.
Modified: 1/5/2012
Important changes have been made to several sections of this LCD.
Modified: 1/5/2012
Important changes have been made to several sections of this LCD.
A93922: Non-invasive physiologic studies of upper or lower extremity arteries -- revision to the LCD
Modified: 1/5/2012
Revisions have been made to several sections of this LCD.
Modified: 1/5/2012
Revisions have been made to several sections of this LCD.
Modified: 1/5/2012
Medicare administrative contractor (MAC) J9’s major revisions for this draft will remain under consideration until further notice. It is anticipated that additional information will be available in early 2012 for consideration in the draft.
Modified: 1/5/2012
Medicare administrative contractor (MAC) J9’s major revisions for this draft will remain under consideration until further notice. It is anticipated that additional information will be available in early 2012 for consideration in the draft.
Modified: 1/1/2012
First Coast Service Options Inc. has revised local coverage determinations (LCDs) impacted by the 2012 Healthcare Common Procedure Coding System (HCPCS) annual update. Procedure codes have been added, revised, replaced, and deleted accordingly.
Modified: 1/1/2012
First Coast Service Options Inc. has revised local coverage determinations (LCDs) impacted by the 2012 Healthcare Common Procedure Coding System (HCPCS) annual update. Procedure codes have been added, revised, replaced and deleted accordingly.
Modified: 12/16/2011
A local coverage determination (LCD) has been developed to give indications and limitations of coverage and/or medical necessity, CPT code, ICD-9-CM codes, documentation requirements, utilization guidelines, and coding guidelines for PTNS.
Modified: 12/16/2011
A local coverage determination (LCD) has been developed to give indications and limitations of coverage and/or medical necessity, CPT code, ICD-9-CM codes, documentation requirements, utilization guidelines.
Modified: 12/16/2011
A local coverage determination (LCD) has been developed to give indications and limitations of coverage and/or medical necessity, CPT code, ICD-9-CM codes, documentation requirements, utilization guidelines, and coding guidelines for PTNS.
Modified: 12/16/2011
A local coverage determination (LCD) has been developed to give indications and limitations of coverage and/or medical necessity, CPT code, ICD-9-CM codes, documentation requirements, utilization guidelines.
Modified: 12/16/2011
Important changes have been made to several sections of this LCD.
Modified: 12/16/2011
Important changes have been made to several sections of this LCD.
Modified: 12/14/2011
Effective for claims with dates of service March 25, 2011, through October 15, 2011, YERVOY™ can be considered for coverage in certain circumstances.
Modified: 8/19/2011
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 7/29/2011
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 7/29/2011
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 7/29/2011
Important changes have been made to several sections of this LCD.
Modified: 7/29/2011
Important changes have been made to several sections of this LCD.
Modified: 7/28/2011
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 7/28/2011
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 9/19/2010
The Centers for Medicare & Medicaid Services (CMS) requires that any Medicare service provided or ordered must be authenticated by the author -- the one who provided or ordered that service. This article outlines acceptable forms of authentication.
Modified: 9/18/2010
When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or signature log within the following 20 calendar days. [CR 6698]
Modified: 9/18/2010
Medicare pays for clinical laboratory services that are medically reasonable and necessary, ordered by a physician, and used by the physician in the treatment of the patient. When a physician documents an order for a complete blood count (CBC) in a patient’s medical record, Medicare will not pay for a CBC with automated differential.
Modified: 6/27/2010
This article addresses and provides clarification for the billing and reimbursement of compounded drugs. There continues to be a pattern of inconsistent billing and handling of these type claims resulting in an increase in appeals and hearings.
