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Local Coverage Determination for Erythropoietin Stimulating Agents (ESA) (L29888) Search Home Medicare Medicaid CHIP People with Medicare & Medicaid OVERVIEW ADVANCED SEARCH About CMS Regulations
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What is local coverage determination lcd?
Local Coverage Determination (LCD) is a decision made by a Medicare Administrative Contractor (MAC) about whether a particular item or service is reasonable and necessary and therefore covered by Medicare.
Who is required to file local coverage determination lcd?
Healthcare providers and suppliers who wish to receive Medicare reimbursement for a particular item or service are required to file local coverage determination LCD.
How to fill out local coverage determination lcd?
Healthcare providers and suppliers must follow the guidelines provided by the MAC and submit all necessary information and documentation to support the request for coverage.
What is the purpose of local coverage determination lcd?
The purpose of local coverage determination LCD is to ensure that Medicare only covers items and services that are medically necessary and appropriate.
What information must be reported on local coverage determination lcd?
Providers must report clinical evidence, documentation of medical necessity, and any other relevant information to support the request for coverage.
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