tci Medicare Compliance & Reimbursement - 2019 Issue 2
Industry Note: CMS Advises on New LCD Rules
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Article Overview
This industry note covers CMS updates to the Medicare Local Coverage Determination process as described in MLN Matters 10901. It is intended for coding, compliance, and reimbursement professionals who track Medicare policy changes and contractor-level coverage administration. The article focuses on revised LCD workflow timing, consultation and request process changes, and CMS’s direction regarding how code references will be handled in related billing and coding articles.
Why This Topic Matters
These CMS updates affect how Medicare coverage policies are developed, finalized, and maintained, which can influence documentation, coding reference workflows, and local coverage administration.
Article Sections
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CMS guidance on LCD process changes
An overview of the Medicare coverage policy update and the operational areas affected by the revised process. The section frames the scope of the CMS notice and its relevance to Medicare stakeholders.
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Implementation and maintenance expectations for MACs
Discussion of contractor responsibilities and the timeline CMS established for updating LCD materials. The section addresses the broader administrative handling of pending LCD proposals and related policy content.
What You Will Learn
- What CMS updated in the Medicare LCD process
- How the revised LCD workflow affects contractor operations
- What type of policy content CMS says will be moved into linked billing and coding articles
- Why Medicare stakeholders should monitor MLN Matters updates
Who Should Read This
- Medical coders
- Coding auditors
- Compliance professionals
- Revenue cycle staff
- Practice administrators
- Medicare billing professionals
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