Coding LCD/NCD Edits
Do others have coding edits set up based on LCD/NCDs that apply to all payors, not just Medicare, for accounts to be reviewed before billing?
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Do others have coding edits set up based on LCD/NCDs that apply to all payors, not just Medicare, for accounts to be reviewed before billing?
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Yes, but it is my recommendation to only apply Medicare LCD/NCDs to those payors that explicitly adopt them. If a payor does not follow LCD/NCD, there is no point in reviewing and you may end up self denying covered services.