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What is an LCD? Local coverage determinations (LCDS) are defined in Section 1869 (f) (2) (B) of the Social Security Act (the Act). This section states: “For purposes of this section, the term ‘local coverage determination' means a determination by a fiscal intermediary or a carrier under part A or part B, as applicable, respecting whether ...
CMS has contracted with CGS to process Durable Medical Equipment, Prosthetic, Orthotic and Supply (DMEPOS) claims for Jurisdiction C. This responsibility includes the development of Local Coverage Determinations (coverage policies).
A Local Coverage Determination (LCD) is a decision made by a Medicare Administrative Contractor (MAC) on whether a particular service or item is reasonable and necessary, and therefore covered by Medicare within the specific jurisdiction that the MAC oversees.
Local Coverage Determination Process & Timeline. An LCD, as defined in §1869 (f) (2) (B) of the Act, is a determination by a Medicare Administrative Contractor (MAC) regarding whether or not a particular item or service is covered in a MAC’s jurisdiction in accordance with Section 1862 (a) (1) (A) of the Act.
Local coverage determinations (LCDs) LCDs are developed to convey under what circumstances an item/service is considered to be medically reasonable and necessary. We will consider medically reasonable and necessary services for payment in the absence of an LCD, local coverage billing and coding article, NCD, or CMS manual instruction limiting ...
What is an LCD? Local coverage determinations (LCDS) are defined in Section 1869 (f) (2) (B) of the Social Security Act (the Act). This section states: “For purposes of this section, the term ‘local coverage determination' means a determination by a fiscal intermediary or a carrier under part A or part B, as applicable, respecting whether ...
What is the Medicare Coverage Database (MCD)? The Medicare Coverage Database (MCD) contains all National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), local articles, and proposed NCD decisions. The database . also includes several other types of National Coverage policy related documents, including National