tci Medicare Compliance & Reimbursement - 2014 Issue 7

Resources: Read Widely To Bolster Documentation

One obstacle to foolproof documentation for total joint replacement is the lack of a national coverage determination. Instead, providers have to make the most of a patchwork quilt of local coverage determinations and nonbinding guidance. Still, the more knowledge the better, advises Steven J. Meyerson, MD, vice president with Accretive Physician Advisory Services in Chicago. He reminds providers that even “foreign” LCDs (issued by contractors outside of your region) can provide sound guidance.  In January 2013, Cahaba GBA released its LCD, Surgery: Major Joint Replacement (Hip and Knee) (L32971). This new LCD describes coverage of total hip...

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