Local Medical Policy

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Local Coverage Determinations | CMS

https://www.cms.gov/Medicare/Coverage/DeterminationProcess/LCDs

Feb 17, 2023

LOCAL MEDICAL REVIEW POLICY (LMRP) - AAPC

https://www.aapc.com/medicalcodingglossary/local_medical_review_policy_(lmrp).aspx

Local policies outline how contractors will review claims to ensure that they meet Medicare coverage requirements. CMS requires that LMRPs be consistent with …

Health Policy - Healthy People 2030 | health.gov

https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-policy

Health policy can have a major impact on health and well-being. Healthy People 2030 focuses on keeping people safe and healthy through laws and policies at the local, …

LCDs / Medical Policies

https://www.cgsmedicare.com/partb/medicalpolicy/index.html

A Local Coverage Determination (LCD), as defined in §1869 (f) (2) (B) of the …

Local Coverage Final LCDs by State Report Results

https://www.cms.gov/medicare-coverage-database/indexes/lcd-state-index.aspx

MCD Reports provide key insights into National and Local Coverage data. Begin by selecting a report from the dropdown. If you are looking for a particular document then …

Provider Medical Policies | Anthem.com

https://www.anthem.com/provider/policies/clinical-guidelines/

Medical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. These documents are available …

Finding Health Insurance | USAGov

https://www.usa.gov/finding-health-insurance

Long-term care (LTC) is a variety of services that include medical and non-medical care for people who have chronic illnesses or disabilities. If you are thinking …

MCD Search - Centers for Medicare & Medicaid Services

https://www.cms.gov/medicare-coverage-database/search.aspx?from=Overview

Local coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). Articles often contain coding or other guidelines …

Medical Policy Reference Manual | CareFirst BlueCross …

https://www.provider.carefirst.com/providers/medical/medical-policy.page

Medical policies, which are based on the most current research available at the time of policy development, state whether a medical technology, procedure, drug or device …

Community Care Medical Policy - Community Care

https://www.va.gov/COMMUNITYCARE/providers/Medical-Policy.asp

When additional services are requested, a VA clinical reviewer will refer to the appropriate community care medical policy for the service or procedure to determine …

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