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Medical policy news

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Take advantage of the LCD and procedure to diagnosis lookup to find information in current and draft LCDs.
Modified: 2/27/2017
The Centers for Medicare & Medicaid Services (CMS) recently released change request (CR) 9861 which updates diagnosis codes specific to16 national coverage determinations (NCDs). [MM9861]
Modified: 2/16/2017
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: 2/16/2017
This calculator will assist you in determining when additional documentation requested by FIrst Coast Service Options Inc. (First Coast) must be received.
Modified: 2/16/2017
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: 2/7/2017
Based on data analysis review of the local coverage determination (LCD), it was determined that the LCD is no longer required and, therefore, is being retired.
Modified: 1/20/2017
The Centers for Medicare & Medicaid Services (CMS) recently released instructions for Medicare administrative contractors regarding changes in the Laboratory National Coverage Determination (NCD). [MM9934]
Modified: 1/20/2017
This MAC JN local coverage determination (LCD) for evaluation and management services in a nursing facility was revised to add HCPCS code G9685.
Modified: 1/19/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 1/17/2017
This local coverage determination (LCD) was revised based on a reconsideration request to include a diagnosis code for antibody mediated rejection (AMR).
Modified: 1/17/2017
Based on a reconsideration request, a diagnosis code for antibody mediated rejection (AMR) post kidney transplant was added to this LCD.
Modified: 1/17/2017
Based on change request (CR) 9861, ICD-10 Coding Revisions to National Coverage Determination (NCDs), the Centers for Medicare & Medicaid Services (CMS) has instructed contractors to remove all associated diagnosis codes in current editing for CPT® code 97026.
Modified: 1/13/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 1/12/2017
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: 1/5/2017
The local coverage determination (LCD) for dialysis (AV fistula and graft) vascular access maintenance is being retired effective January 1, 2017.
Modified: 1/1/2017
Based on a request to include a diagnosis code range for the local coverage determination (LCD) for Ophthalmoscopy, the LCD was revised to include ICD-10 code range E10.3291–E10.3299
Modified: 1/1/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 1/1/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 12/23/2016
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 12/22/2016
Multiple changes have been made to this local coverage determination (LCD).
Modified: 12/16/2016
This article lists First Coast's Part A and Part B local coverage determinations (LCDs) affected by the 2017 Healthcare Common Procedure Coding System (HCPCS) annual update.
Modified: 12/16/2016
The attached is a coding article for positron emission tomography (PET) scans.
Modified: 12/15/2016
This local coverage determination (LCD) for non-invasive extracranial arterial studies was revised based on an LCD reconsideration request.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.