Part B
‘Reasonable and necessary’ guidelines
View these guidelines regarding what it means for a service to be "reasonable and necessary."
Local and national coverage reference guide
Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage determinations (NCDs).
Local and national coverage reference guide
Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage determinations (NCDs).
Humanitarian device exemption
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…
Humanitarian device exemption
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…
Use of urine-based biomarkers in patients with microhematuria bibliography
View the bibliography for use of urine-based biomarkers in patients with microhematuria for a CAC meeting.
Documentation requirements for physician and non-physician practitioners
CMS has established specific criteria for determining the eligibility of physician and non-physician practitioners for enrollment in the Medicare program and reimbursement for services furnished to…
Documentation requirements for physician and non-physician practitioners
CMS has established specific criteria for determining the eligibility of physician and non-physician practitioners for enrollment in the Medicare program and reimbursement for services furnished to…
Use of urine-based biomarkers in patients with microhematuria bibliography
View the bibliography for use of urine-based biomarkers in patients with microhematuria for a CAC meeting.
Ordering / certifying requirements for Medicare claims
CMS change request (CR) 6417 expanded the scope of editing of electronic and paper claims to meet the requirements,