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Proposed local coverage determination: Contractor advisory committee (CAC) meetings
Information for the upcoming CAC meetings for providers and interested stakeholders in Florida, Puerto Rico, and the U.S. Virgin...
Inappropriate billing of anesthesia services for epidural steroid injections (ESI) and facet joint injections for pain management
The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for...
FastTrack to Medicare coverage policies
FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and...
Proposed local coverage determinations (LCDs): Open meetings
Online registration for the March 5 open meeting is now available, and presenter registration will close at noon ET on March 3....
Update history: LCD and article updates
View the most recent updates for our LCDs and articles.
View LCDs
Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions...
Locate guidelines on the CMS website
A procedure can have other policies or guidelines besides an LCD or NCD. The CMS website has a wealth of information. Read this...
RSNAT (repetitive scheduled non-emergent ambulance transportation) glossary tool
The following article provides a list of common terms used by the medical review department for prior authorization requests.
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...