Medical policy
View LCDs
Medicare Administrative Contractors (MACs) 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…
Proposed LCDs: Open Meetings
Online registration for the Tuesday, October 27 open meeting is now available, and presenter registration will close at noon ET on Friday, October 23. Important: Our open meeting will be held via…
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.
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.
Reasonable and Necessary Guidelines
View these guidelines regarding what it means for a service to be "reasonable and necessary."
Reasonable and Necessary Guidelines
View these guidelines regarding what it means for a service to be "reasonable and necessary."
Multi-jurisdictional contractor advisory committee (CAC) meeting
CAC meetings are for the purpose of discussing literature related to proposed LCDs before they are developed. CAC meetings are open for the public to attend as observers. Read more information…