Journey to LCD coverage
Learn how the local coverage determination (LCDs) process works with this informative guide. General information on the local...
Articles
Article Type
Category
‘Reasonable and necessary’ guidelines
View these guidelines regarding what it means for a service to be "reasonable and necessary."
Local and national coverage reference guide
Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage...
Retirement of LCDs and local coverage articles
View these reasons why First Coast may consider retiring LCDs and articles.
Humanitarian device exemption
First Coast may consider coverage of a humanitarian use device, intended to benefit a small patient population, when the...
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...
Drugs and biologicals: Self-administered drug exclusions
Self-administered drugs
Self-Administered Drug Exclusion List (A52571)
Medicare provides only limited benefits for outpatient...
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...