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Added line is this color Deleted line is this color - +<!--StartFragment --> <h3>COVERAGE</h3> <ul> -<li><a href="http://www.cms.hhs.gov/mcd/overview.asp"><font size="2">Medicare -Coverage Database</font></a></li> +<li style="FONT-WEIGHT: bold"><a href= +"http://www.cms.hhs.gov/mcd/overview.asp"><font size="2">Medicare Coverage +Database</font></a></li> <li style="LIST-STYLE-TYPE: none"> <ul> -<li><font size="2"><strong><a href= -"http://www.cms.hhs.gov/mcd/search.asp?clickon=search">Search</a></strong>- +<li><font size="2"><strong style="FONT-WEIGHT: normal"><a href= +"http://www.cms.hhs.gov/mcd/search.asp?clickon=search">Search</a></strong> - Allows users to search both the NCD and LCD databases using a variety of criteria such as key word, coverage topic, and date</font></li> -<li><font size="2"><strong><a href= -"http://www.cms.hhs.gov/mcd/indexes.asp?clickon=index">Indexes</a></strong>- +<li><font size="2"><strong style="FONT-WEIGHT: normal"><a href= +"http://www.cms.hhs.gov/mcd/indexes.asp?clickon=index">Indexes</a></strong> - Provides users with pre-defined lists of National and local coverage documents</font></li> -<li><font size="2"><strong><a href= -"http://www.cms.hhs.gov/mcd/reports.asp?clickon=report">Reports</a></strong>- +<li><font size="2"><strong style="FONT-WEIGHT: normal"><a href= +"http://www.cms.hhs.gov/mcd/reports.asp?clickon=report">Reports</a></strong> - Provides users with reports of National and local coverage data</font></li> -<li><font size="2"><strong><a href= +<li><font size="2"><strong style="FONT-WEIGHT: normal"><a href= "http://www.cms.hhs.gov/mcd/cpt_license.asp?type=download&page=overview.asp"> -Download</a></strong>- Allows users to download complete sets of LCDs and +Download</a></strong> - Allows users to download complete sets of LCDs and articles and the complete set of NCDs</font></li> </ul> </li> </ul> <h3>NCD</h3> <ul> <li> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><a href= "http://www.cms.hhs.gov/DeterminationProcess/Downloads/FR09262003.pdf"><font color="#800080" size="2">Revised Process for Making Medicare National Coverage -Determinations</font></a><font size="2">(68<u>Fed -Reg</u>55634-55641)</font></p> +Determinations</font></a><font size="2"> (68 <u>Fed +Reg</u> 55634-55641)</font></p> </li> <li style="LIST-STYLE-TYPE: none"> <ul> <li> <p class="MsoNormal" style="MARGIN: 0in 0in 0pt"><font size="2">What constitutes a complete, formal request</font></p> </li> </ul> </li> <li><a href= "http://www.cms.hhs.gov/mcd/ncpc_view_document.asp?id=6"><font size="2">Factors CMS Considers in Opening a National Coverage Determination</font></a></li> <li><a href= "http://www.cms.hhs.gov/DeterminationProcess/02_howtorequestanNCD.asp"><font size="2"> How to Request an NCD</font></a></li> </ul> <h3>LCD</h3> <ul> <li><font size="2"><u><a href= "http://www.cms.hhs.gov/manuals/downloads/pim83c13.pdf"><font color= "#0000FF">Medicare Program Integrity Manual, Chapter 13 Local Coverage Determinations</font></a></u></font></li> <li><a href= "http://www.medicarenhic.com/cal_prov/policies_lmrp_recon.shtml"><font size= "2">Policies - LCD/NCD Overview and LCD Reconsideration Process</font></a></li> <li><a href= "http://www.empiremedicare.com/partbnj/partbnj_lcd_process.cfm"><font size= "2">Local Coverage Determination Process</font></a></li> </ul> -<p><strong>LCD v. LMRP</strong></p> +<h3>LCD v. LMRP</h3> <ul> -<li><span style= -"FONT-SIZE: 12pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"> -In 2003, CMS finalized regulations that replaced LMRPs with LCDs.<span style= -"mso-spacerun: yes"> </span> The difference between LMRPs and LCDs is that LCDs -consist of only “reasonable and necessary” information, while LMRPs may also -contain benefit category and statutory exclusion provisions.</span></li> -<li><span style= -"FONT-SIZE: 12pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"> -The final rule establishing LCDs was published November 11, 2003. Beginning -December 7, 2003, local policies will be referred to as LCDs. </span></li> -<li><span style= -"FONT-SIZE: 12pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA"> -For more information, see the Medicare Program Integrity Manual, Chapter 13 -(Local Coverage Determinations), at <a href= +<li><small>In 2003, CMS finalized regulations that replaced LMRPs +with LCDs.</small></li> +<li style="list-style: none"> +<ul> +<li><small>The difference between LMRPs and LCDs is that LCDs consist of only +“reasonable and necessary” information, while LMRPs may also contain benefit +category and statutory exclusion provisions.</small></li> +</ul> +</li> +<li><small>The final rule establishing LCDs was published November 11, 2003. +Beginning December 7, 2003, local policies were referred to as +LCDs. </small></li> +<li><small>For more information, see the Medicare Program Integrity Manual, +Chapter 13 (Local Coverage Determinations), at <a href= "http://www.cms.hhs.gov/manuals/downloads/pim83c13.pdf"><font color= -"#800080">http://www.cms.hhs.gov/manuals/downloads/pim83c13.pdf</font></a>.</span><br> +"#800080">http://www.cms.hhs.gov/manuals/downloads/pim83c13.pdf</font></a>.</small><br> </li> </ul> |