Articles

The following article provides a list of common terms used by the medical review department for prior authorization requests.

Effective August 11, the Provider Contact Center will service up to three inquiries for only one PTAN / NPI combination per call...

Do you find it challenging to identify a Medicare coverage policy concerning a particular item or service? Not sure what to do...

FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and...

Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions...

A procedure can have other policies or guidelines besides an LCD or NCD. The CMS website has a wealth of information. Read this...

First Coast may consider coverage of a humanitarian use device, intended to benefit a small patient population, when the...

Important information notifying users of the requirements for approval of transcatheter aortic valve replacement (TAVR) studies.

View these billing and coding instructions of routine costs for qualifying clinical trials.

Clinical trials background

What regulatory guidance addresses devices and clinical trials in the Medicare program? 

For guidance...