Provider contact center (PCC) closures
The PCC is closed certain days for training. View the upcoming closure days and times.
Articles
Article Type
Category
Proposed local coverage determinations (LCDs): Open meetings
There are currently no open meetings scheduled. Please watch this page for updates regarding our next open meeting, Please view...
Update history: LCD and article updates
View the most recent updates for our LCDs and articles.
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
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...
Limited systems availability Thursday, July 2 through Sunday, July 5
There will be Common Working File (CWF) "dark days" Thursday, July 2, through Sunday, July 5, affecting the IVR.
Screening for hepatitis C virus National Coverage Determination
CMS clarified billing requirements for the screening for hepatitis C virus in adults.
Drugs and biologicals: Self-administered drug exclusions
View this information regarding excluded self-administered injectable drugs.
Patients purchasing their own drugs or biologicals (brown bagging)
Medicare provides limited benefits for outpatient drugs. Drugs and/or biologicals purchased by the patient and taken to their...