Durable Medical Equipment Operations and Management-Video: Local Coverage Determination

Video Transcription

Video Summary

Nick Hopper discusses the importance of Local Coverage Determinations (LCDs) for managing DME (Durable Medical Equipment) programs. LCDs, set by Medicare Administrative Contractors (MACs), specify coverage and criteria for services based on jurisdiction. Understanding LCDs helps practices avoid denials, ensure compliance, and improve reimbursement. Hopper emphasizes staying updated through electronic sources and LISTSERVs while distinguishing between regional LCDs and National Coverage Determinations (NCDs), which apply nationwide. He highlights the role of DME vendors and software in maintaining compliance with LCDs and underscores the necessity of adapting medical documentation according to LCD updates for successful DME program management.

Keywords

Local Coverage Determinations

Durable Medical Equipment

Medicare Administrative Contractors

compliance

reimbursement