October 16, 2018
On Oct. 3, 2018, the Centers for Medicare & Medicaid Services released a Fact Sheet summarizing key revisions to Chapter 13 of the Medicare Program Integrity Manual. These revisions, issued in response to the 21st Century Cures Act, aim to improve transparency in the local coverage determination (LCD) process. The manual includes instructions and procedures for Medicare administrative contractors that administer the Medicare program in various regions throughout the country.
The revised chapter includes a number of significant changes to the LCD process:
A number of additional changes to the LCD process could be implemented if the Local Coverage Determination Act of 2018, which the House of Representatives passed Sept. 12, is signed into law. Please contact one of the authors below with any questions about the content of this Legal Alert.