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August 18, 2016

LCD and Policy Article Revisions Summary for August 18, 2016

Outlined below are the principal changes to the DME MAC Local Coverage Determinations (LCDs) and Policy Articles (PAs) that have been revised and posted. The policies included are Automatic External Defibrillators, Heating Pads and Heat Lamps, High Frequency Chest Wall Oscillations Devices.  Please review the entire LCD and related PA for complete information.

Bowel Management Devices

LCD

Automatic External Defibrillators LCD LinkExternal Website

Revision Effective Date 07/01/2016

DOCUMENTATION REQUIREMENTS:
Revised: Standard Documentation Language for orders, and Proof of delivery instructions, added New order requirements, and Correct coding instructions; (Effective 04/28/2016)

Policy Article

Automatic External Defibrillators Policy Article LinkExternal Website

Revision Effective Date: 07/01/2016

Updated: Title to remove effective date

LCD

Heating Pads and Heat Lamps LCD LinkExternal Website

Revision Effective Date: 07/01/2016

COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Revised: Standard Documentation language - ACA order requirements – Effective 04/28/16
DOCUMENTATION REQUIREMENTS:
Revised: Standard documentation language for orders, ACA order requirements, added New order requirements, and Correct coding instructions; revised Proof of delivery instructions – Effective 04/28/16

Policy Article

Heating Pads and Heat Lamps Policy Article LinkExternal Website

Revision Effective Date: 07/01/2016

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Revised Standard Language to add Statutory Prescription (Order) Requirements, revised Face to Face and ACA requirements - Effective 04/28/2016

LCD

High Frequency Chest Wall Oscillation Devices LCD LinkExternal Website

Revision Effective Date: 07/01/2016

COVERAGE INDICATIONS, LIMITATIONS AND/OR MEDICAL NECESSITY:
Revised: Standard Documentation language - ACA order requirements – Effective 04/28/16
DOCUMENTATION REQUIREMENTS:
Revised: Standard documentation language for orders, ACA requirements, and Proof of delivery instructions; added New order requirements, and Correct coding instructions – Effective 04/28/16

Policy Article

High Frequency Chest Wall Oscillation Devices Policy Article LinkExternal Website

Revision Effective Date: 10/01/2015

NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES:
Revised Standard Language to add Statutory prescription (order) requirements, revised Face to Face and ACA requirements - Effective 04/28/2016

Note: The information contained in this article is only a summary of revisions to the LCDs and Policy Articles.  For complete information on any topic, you must review the LCDs and/or Policy Articles.

Provider Outreach and Education is currently developing additional education on policy changes.  We will issue a ListServ message as soon as the education is available.

 

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