Payer Relations Resources
Most decisions about what procedures will be covered under Medicare are made by local contractors and are known as local coverage determinations (LCDs). In some cases, the Centers for Medicare & Medicaid Services decides that a coverage issue is national in scope and it issues a national coverage determination (NCD). A recent instance of an NCD is the revised determination for carotid artery stenting which can be found: http://www.cms.gov/transmittals/downloads/R115NCD.pdf.
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September 9, 2021: Letter to CMS Re: Proposed Decision Memorandum to Remove Transvenous (Catheter) Pulmonary Embolectomy-NCD 240.06
June 23, 2021: Letter to CMS Re: Improving Data and Methods Related to the Indirect Practice Expense in the Medicare Physician Payment Schedule
May 13, 2021: National Coverage Analysis (NCA) Tracking Sheet for Transvenous (Catheter) Pulmonary Embolectomy (CAG-00457R)- NCD 240.06
March 15, 2021: Wound Care Local Coverage Determintation (LCD) DL38902 to Noridian Administrative Services LLC
January 8, 2021: SVS SET Response to CMS
December 18, 2020: To National Government Services Regarding LCD 38573
November 30, 2020: To BCBS of North Carolina: Treatment for Varicose Veins of the Lower Extremity, Corporate Medical Policy
August 7, 2020: To Novitas: Proposed Local Coverage Determination (LCD): Treatment of Chronic Venous Insufficiency of the Lower Extremities (DL34924)
August 7, 2020: To First Coast Service Options, Inc: Proposed Local Coverage Determination (LCD): Treatment of Chronic Venous Insufficiency of the Lower Extremities (DL38720)
July 17, 2020: Proposed Local Coverage Determination (LCD): Percutaneous Arteriovenous Fistula (pAVF) for Hemodyalysis (DL38573)
May 21, 2020: UnitedHealthcare on Lower Extremity Vascular Interventions
May 13, 2020: Anthem Endovascular Techniques (Percutaneous or Open Exposure) for Arterial Revascularization of the Lower Extremities - CG-SURG-49
Nov 12, 2019: Evicore Healthcare Letter Regarding Peripheral Vascular Disease Imaging Guidelines