Medical policy

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

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

First Coast may consider coverage of a humanitarian use device, intended to benefit a small patient population, when the provider follows the specific guidelines and submits the appropriate…

First Coast may consider coverage of a humanitarian use device, intended to benefit a small patient population, when the provider follows the specific guidelines and submits the appropriate…

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

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…

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…

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.

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.