Coverage & Pricing
- Medical Review
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What is Medical Review? What are the types of contractors we work with to achieve the goal of reducing improper payments?
- Medical Review Articles
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This section represents articles published by the Medical Review department in an effort to educate the provider community on proper coding and billing related to Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and/or from issues noted in the carrier's claims and probe review activities.
- Medical Director Contact Information
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Mailing and telephone information for your Idaho and North Carolina Medial Directors.
- Fee Schedules
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The Part B Physician Fee Schedule, Ambulatory Surgical Center Fee Schedule database, Physician Fee Schedule Relative Value Units, ZIP Code Files, and more.
- Local Coverage Determinations (LCDs)
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Review active LCDs and Policy Articles, as well as draft articles and the LCD Reconsideration Process.
