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...
Articles
Article Type
Category
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...
Advanced LCD search
Medicare Coverage Database code and keyword search
To search the Medicare Coverage Database (MCD) for First Coast's LCDs and...
FastTrack to Medicare coverage policies
FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and...
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.
Customer service hours of availability for U.S. Virgin Islands and Puerto Rico providers
With daylight saving time beginning, the Provider Contact Center hours of operation will be modified for providers in the U.S...
Prior authorization for ambulance transports is for repetitive transports
A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a...