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Visit our Journey to LCD coverage page to find more information related to LCDs, including the LCD development process and how to become involved, as well as how local and national coverage guidelines relate to claims processing.
Are you providing outpatient therapy services on institutional claims and receiving reason code 34963 indicating the attending physician is invalid? Read this article for assistance to resolve your claim returns.
Read this article for helpful information to report the national drug code on claims.
Providers must file a self-extracting electronic cost report from an approved vendor that must pass all level 1 edits.
This indicates that CMS Form-287 or an alternative reporting format may be used to meet the needs of the individual home office cost reporting.
Prior to accessing CMS web-based systems, users must register and receive identification and authentication.
This is what you need to do to correct material errors, comply with regulations, or reflect a contested liability.
These steps are taken when you fail to file your cost report timely.
These are specific steps to produce your own PS&R report.
The Medicare physician fee schedule status indicators for bilateral services should be used to determine if the procedure is allowed to be performed bilaterally.