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Search Results for National and Local Coverage CMS Gov  Form

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[music] Thanks for joining me today to learn more about the Local Coverage Determination or LCD. I'm Thom Ryan with Provider Outreach and Education and I'm here to help you through this material. To begin with we'll Define what an LCD is. The Local Coverage Determination is a policy written by a specific contractor covering services in their jurisdiction. The LCDs consist of language describing the medically reasonable   and necessary information about a service or services. Along with the description, LCDs must contain the rationale for coverage or non-coverage of that service. Next, let's focus on the word local. A jurisdiction is a set of states that a contractor processes claims for. The claims processing contractor, writing the LCD, is called a Medicare Administrative Contractor or MAC. WPS LCDs cover Jurisdiction 5, Iowa, Kansas, Missouri, Nebraska, and certain national providers billing Part A. They also cover Jurisdiction 8, Indiana and Michigan providers. There also

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