The 2016 21st Century Cures Act included changes to the LCD process, adding language to 1862(l)(5)(D) of the SSA to describe the LCD process. Section 1862(l)(5)(D), of the SSA …

For Medicare Administrative Contractors (MACs): The Medicare Administrative Contractor is hereby advised that this constitutes technical direction as defined in your contract. CMS does …

90.2 - Medicare Billing Requirements for Beneficiaries Enrolled in MA Plans 100 - Part A SNF PPS for Hospital Swing Bed Facilities 100.1 - Swing Bed Services Not Included in the Part A …

A reopening is a remedial action taken to change a binding determination or decision that resulted in either an overpayment or an underpayment, even though the determination or decision was …