CERT Task Force: Overview presentation
The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B...
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
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...
View LCDs
Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions...
No Medicare policies identified
In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary...
Pathology and laboratory codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the pathology and lab...
E/M services furnished by a non-physician practitioner incident to a physician's service
Medicare pays for services and supplies that are furnished incident to a physician’s or other practitioner’s services, are...
CPT Category III T Codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the T codes listed...
New FastTrack to Medicare coverage policies tool
Do you find it challenging to identify a Medicare coverage policy concerning a particular item or service? Not sure what to do...
Reporting the national drug code
Read this article for helpful information to report the national drug code on claims.