CERT Alert: Dual-Chamber Cardiac Pacemaker Insertion Denial

Attention Facilities and Providers who bill Noninvasive Vascular Studies
Summary: National Government Services has a local coverage determination (LCD) L27355 and supplemental instruction article (SIA) A47394 to assist providers in determining medically necessary services and how they should be supported in documentation. All providers who bill Medicare for Noninvasive Vascular services should be familiar with the LCD and SIA. Claims will begin editing based on the current LCD in the next 30 to 60 days. Prevent unnecessary denials or returns by adhering to the policy guidelines.

For more information please read the article titled, “Dollars at Risk for Local Coverage Determination L27355: Noninvasive Vascular Studies Edit.”

Providers Who Bill for Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) National Government Services has a local coverage determination (LCD) L28488 and supplemental instruction article (SIA) A48003 to assist providers in determining medically necessary services and how they should be supported in documentation. All providers who bill Medicare for SCODI services should be familiar with the LCD and SIA. Claims will begin editing based on the current LCD in the next 30 to 60 days. Prevent unnecessary denials or returns by adhering to the policy guidelines.

For more information please read the article titled, “Dollars at Risk for Local Coverage Determination Scanning Computerized Ophthalmic Diagnostic Imaging L28488 Edit

This entry was posted on Friday, March 26th, 2010 at 10:13 am and is filed under MEDICARE UPDATES. You can follow any responses to this entry through the RSS 2.0 feed. Responses are currently closed, but you can trackback from your own site.