Articles

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

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...

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...

CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...

In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary...

View these guidelines regarding what it means for a service to be "reasonable and necessary."

The purpose of the open meeting is to allow interested parties the opportunity to make presentations of information and offer...