Find-A-Code Focus Newsletter

What is an LMRP and Where Can I Find Them?

January 14, 2015

Local Medical Review Policies (LMRPs) were converted to LCDs. This was done as a result of the Benefits Improvement and Protection Act of 2000 (BIPA 2000). The difference between LCDs and previously written LMRPs is that LCDs contain only reasonable and necessary conditions of coverage as allowed under section 1862(a)(1)(A) of the Act. LMRPs may have also contained other information such as coding and payment guidelines. Coding and payment information that is not related to section 1862(a)(1)(A) is not contained in an LCD; contractors communicate such information in related articles.

Local Coverage Determinations (LCDs) are defined in Section 1869(f)(2)(B) of the Social Security 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 or not a particular item or service is covered on an intermediary- or carrier-wide basis under such parts, in accordance with section 1862(a)(1)(A).”

You can view local and national LCDs through Find-A-Code. You can search all carriers or the carriers specific to your location. Contact a representative at Find-A-Code for more information.


CMS.gov: http://www.cms.gov/Medicare/Coverage/DeterminationProcess/LCDs.html
CMS.gov NCD and LCD Indexes: http://www.cms.gov/medicare-coverage-database/indexes/national-and-local-indexes.aspx


share
 

More Articles in January 2015

 

Poll

Which grouper would be more beneficial to you?

News Articles by Month
January 2020- 1
December 2019- 1
November 2019- 1
October 2019- 4
September 2019- 2
August 2019- 3
July 2019- 3
May 2019- 2
April 2019- 3
March 2019- 9
February 2019- 3
January 2019- 5
November 2018- 3
September 2018- 1
August 2018- 4
June 2018- 5
May 2018- 4
April 2018- 1
March 2018- 1
February 2018- 8
January 2018- 6
2017 - View
2016 - View
2015 - View
2014 - View
2013 - View
2012 - View
2011 - View
2010 - View
2009 - View
2008 - View
free demo
request yours today
pricing
for any budget
sign IN
welcome back!