The Center for Medicare and Medicaid Services (CMS) has different methods of sharing and publishing its policies and guidelines. Two of those methods are National Coverage Determinations (NCD), and Local Coverage Determinations(LCD). The Medicare Carrier system is divided into geographical areas in which different carriers are contracted to adjudicate claims for Medicare Part A and B patients. NCD’s are National Coverage Determinations that give direction on billing and coding for certain procedures that apply to all providers in any geographical area. There is also a spreadsheet which for each NCD that describes the payable ICD-10-CM codes for the procedures in the policy, if applicable, along with other information needed for correct claims submission. In the absence of an NCD, a Local Coverage Determination, or LCD, may be created by a particular Medicare carrier for Part A or B benefits on a particular or group of procedures and/or services. The NCD would only apply to those states that are listed on the NCD, and cannot be applied claims for other jurisdictions. This can complicate things as one state may cover a service or procedure for a particular reason, but the next state may not. This webinar will show attendees how to locate the appropriate NCDs and LCDs for their area, and give direction on how to use the information in the policies.
Areas Covered in the Session:-
Who Should Attend?