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There are two coverage policies: • National Coverage Determinations (NCD) • Local Coverage Determinations (LCD) National Coverage Determinations Manuals describes whether specific medical items, services, treatment procedures, or technologies can be paid for under Medicare in accordance with title XVIII of the Social Security Act, and in Medicare regulations and rulings. The NCD is organized by categories, e.g., medical procedures, supplies, and diagnostic services. Local Coverage Determinations are developed to specify under what clinical circumstances a service is reasonable and necessary. They serve as an administrative and educational tool to assist providers in submitting claims correctly for payment
Page Last Modified: 12/14/2005 12:00:00 AM
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