


100-8, Program Integrity Manual, Chapter 13, Section 5.1ĬMS Publication 100-03 Medicare National Coverage Determination (NCD) Manual) Chapter 1,

You may also contact us at National Coverage Policy When the documentation does not meet the criteria for the service rendered, or the documentation does not establish the medical necessity for the services, such services will be denied as not reasonable and necessary under Section 1862(a)(1) of the Social Security Act.ĬMS Pub.
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To license the electronic data file of UB-04 Data Specifications, contact Tim Carlson at (312) 893-6816.
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