CMS has designed several initiatives to eliminate disparities in health care quality and access so that all Medicare patients...

The Medicare Learning Network is the brand name for official CMS national provider education products designed to promote...

First Coast is receiving first-level appeals (redeterminations) based on claim denials for providers not including the ordering...

The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B...

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

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

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

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

Avoid negative impacts to your claims by providing medical records with your initial claim submission for the T codes listed...

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