Medicare Physical Therapy Medical Coding and Billing Physical therapy services, individual vs. group therapy, and proper Medicare coding/billing review NOT an expert report; case-specific application depends on dates of service,…
How to Search for Medicare Local Coverage Determinations Medicare Local Coverage Determination (or Medicare LCD) categorizes medical procedures and diagnoses of the patient. In short, claim adjudication systems use business…
Our firm is engaged by many clients to evaluate Medicare Local Coverage determinations (a.k.a. "Medicare LCD") in specific regulatory compliance matters involving medical coding and medical billing for Medicare and…
Medicare Part D and the Affordable Care Act Medicare Part D first covered Americans in 2005. The Patient Protection and Affordable Care Act (“ACA” or “PPACA”) of 2010 brought noteworthy…
Medicare Local Coverage Determinations for Genetic Testing Medicare Technical Assessment for Molecular Assays To determine coverage for genetic test Medicare LCD, the Centers for Medicare and Medicaid (CMS) requires a…
Five Types of Medicare Appeals, Medicare Part B There are five types of Medicare Appeals. The process differs slightly for Medicare Part A, Medicare Part B fee for service, Medicare…