The purpose of Medical Review is to assist the medical community in the reimbursement of covered care with a minimum of inconvenience and dollar expenditure. So, how can you help and lessen your frustration?
Stay up to date on LCD’s. they are all posted in the Part A LCD Section of the website.
Take advantage of the opportunity to participate in the LCD development process. The website will direct you to all Draft policies and give you the opportunity to comment before the LCD is finalized.
Volunteer to participate in one of the Advisory groups like the Provider Advisory Group (PAG) or the Carrier Advisory Group (CAC). Directions and contact persons are also on your State Medicare website.
Make sure your staff is familiar with and regularly monitors the website to stay abreast of changes of importance to your practice.
Order a new CPT and ICD-9 book each year as this is invaluable to your coding staff.
Utilize the Web Based Training modules, also posted on your web site.
Attend or assign staff to attend the workshops posted on your web site.
Download the monthly Provider Newsletter available on the web site and share with your staff.
Develop a QA process to monitor your internal issues.
