local coverage determination


Also found in: Acronyms.

lo·cal cov·er·age de·ter·mi·na·tion

(LCD) (lō'kăl kŭv'ĕr-ăj dē-tĕr'mi-nā'shŭn)
Advisories with detailed and updated information about coding and medical necessity of a specific service; used to ensure the accuracy of health care billing.
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References in periodicals archive ?
The Reimbursement part of the meeting discussed holding reimbursement forums in your state to develop relationships with your payers, as well as discussions on increasing the physical therapists' knowledge about reimbursement including how to read and find Local Coverage Determinations (LCDs) as well as reading insurance contracts and getting assistance in reading contracts prior to signing them.
For instance, the bill says that judges "shall not be required to give substantial deference to local coverage determination, local medical review policies, or Centers for Medicare and Medicaid Services program guidance." The measure also calls for appeal hearings to be in-person "unless such individual requests that the hearing be conducted using tele- or video conference technologies." The bill was referred to the Senate Finance Committee.
For instance, the bill says that judges "shall not be required to give substantial deference to local coverage determination, local medical review policies, or Centers for Medicare and Medicaid Services program guidance." The measure calls for appeal hearings to be in-person "unless such individual requests that the hearing be conducted using tele- or video conference technologies." The bill was referred to the Senate Finance Committee.
Release date- 26082019 - IRVINE - MDxHealth SA (Euronext: MDXH.BR), a commercial-stage innovative molecular diagnostics company, today announced that Palmetto GBA, a Medicare Administrative Contractor (MAC) that assesses molecular diagnostic technologies under its MolDx program, has issued a draft local coverage determination (LCD) for the SelectMDx for Prostate Cancer test.
JPMorgan analyst Tycho Peterson says he walked away from investor meetings with Guardant Health management "encouraged on several fronts." The analyst sees continued progress on reimbursement via the Palmetto draft local coverage determination and highlights management's confidence in driving volumes via ramping adoption.
3635, a bill that passed the House in September, seeks to improve transparency and accountability in Medicare Administrative Contractors' (MACs) Local Coverage Determination (LCD) process for devices.
Using the Local Coverage Determination (LCD), Text2Codes will suggest diagnosis supporting procedures (and vice-versa) in specific CMS jurisdictions and will prevent coding incorrect or medically "unnecessary" procedures.
Diagnostic tests company Genomic Health (NasdaqGS:GHDX) revealed on Monday that it has received the final local coverage determination (LCD) approving the Oncotype DX prostate cancer test for qualified Medicare patients throughout the US.
As a result of this decision, I would strongly urge each and every one of you to review the pulmonary rehabilitation coverage in your state (to identify if you have a local coverage determination for pulmonary rehabilitation go to (http://www.cms.hhs.gov/med/index_lmrp_bystate.asp) and type in pulmonary rehabilitation in the search engine on that site.
The American Academy of Family Physicians (AAFP) said it has succeeded in its drive to remove restrictive language from a Medicare carrier's draft local coverage determination on wound care.

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