CMS COVERAGE DECISIONS: MACs Can Make Exceptions to LCDs, CMS Says

Article Overview

This article covers a CMS coverage-policy update about how certain Medicare contractors may apply exceptions to local coverage decisions, with special attention to how the process differs for MACs, RACs, and other contractors. It is relevant to coders, billing professionals, and compliance staff who follow Medicare coverage policy and appeals-related guidance. The article summarizes the general nature of the CMS transmittal, the circumstances under which exceptions may be considered, and the broader implications for LCD administration and review.