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Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or Local Coverage Determination (LCD) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial

This CR describes the remaining requirements to shared systems and carriers and builds on the initial requirements in CR 2916. The testing and documentation of these requirements should be done in this phase (July 2005 release). This is the final phase and all requirements should be fully implemented beginning July 5, 2005. All MSNS printed on or after July 5, 2005 must contain the new message for denials based on an LMRP or LCD.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 14, 2005

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.