As one of the updates to the Local Coverage Determination process, the Centers for Medicare & Medicaid Services (CMS) now allows Medicare Administrative Contractors (MACs) the discretion to host multi-jurisdictional Contractor Advisory Committees.  Contractor Advisory Committees were established to provide a formal mechanism for [...]

Effective Feb. 20, 2019, the U.S. Food and Drug Administration (FDA) has issued a final order that reclassifies the “auto titration device for oral appliances” as class II (special controls). This type of device is identified as “a prescription home use device that determines [...]

The Medicare Administrative Contractor, Palmetto GBA, has published an updated local coverage determination (LCD) policy for polysomnography (L36593), effective for services performed on or after Jan. 1, 2019. Palmetto GBA has revised the ICD-10 Codes that Support Medical Necessity Group 3 by adding the following [...]

The Centers for Medicare and Medicaid Services (CMS) establishes national coverage determination (NCDs) policies for items and services furnished through Medicare. CMS awards geographical jurisdictions to private health care insurers called Medicare Administrative Contractors (MACs), which develop Local Coverage Determination (LCD) policies and process [...]

The Centers for Medicare & Medicaid Services (CMS) officially opened the data submission period for the Merit-based Incentive Payment System (MIPS) on Jan. 2 for eligible clinicians who participated in Year 2 of the Quality Payment Program. However, the following two exceptions for data [...]