Medical policy

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Journey to LCD coverage

Learn how the local coverage determination (LCDs) process works with this informative guide. General information on the local coverage development (LCD) process.

Journey to LCD coverage

Learn how the local coverage determination (LCDs) process works with this informative guide. General information on the local coverage development (LCD) process.

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 anesthesia administered during selected spinal pain management (SPM)…

FastTrack to Medicare coverage policies

FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and if not, what to do next.

FastTrack to Medicare coverage policies

FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and if not, what to do next.

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.

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 article for more information.

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 article for more information.

View LCDs

Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions. There are two ways to view LCDs, either by viewing the list of all active…

View LCDs

Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions. There are two ways to view LCDs, either by viewing the list of all active…