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When an NCD does not exclude coverage for other diagnoses/conditions, contractors should allow individual consideration, unless the LCD supports automatic denial of some or all of those other diagnoses/conditions. When national policy bases coverage on need assessment by the beneficiary's provider, LCDs should not include prerequisites. [2]
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
If you have a Medicare Advantage or prescription drug plan, you can also call the Investigations Medicare Drug Integrity Contractor at 877-772-3379. Any information you provide can help stop the ...
Contact your local Senior Medicare Patrol office (877-808-2468 is the national number) or State Health Insurance Assistance Program (often known as SHIP). “Senior Medical Patrol is a group of ...
The subject of an e-mail message may contain such an abbreviation to signify that all content is in the subject line so that the message itself does not need to be opened (e.g., "No classes Monday (EOM)" or "Midterm delayed <EOM>"). This practice can save the time of the receiver and has been recommended to increase productivity.
(Note: If you had a Medigap policy before joining Medicare Advantage or Medicare SELECT, you may be able to keep it.) 60 days before and up to 63 days after your coverage ends
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