Local medical review policies.
Your clients' Medicare coverage is affected both by national coverage determinations and by what are known as local medical review policies (LMRPs). In this brief we outline the difference between these two policies. We also go into more depth about LMRPs--how they work, and what your clients need to do to appeal decisions based on LMRPs.
Bryant
Natasha
N
Institute for the Future of Aging Services (IFAS).
D000368:Aged; D014487:Centers for Medicare and Medicaid Services, U.S.; D003284:Contract Services; D006291:Health Policy; D006801:Humans; D007345:Insurance Claim Review / Q000458:organization & administration*; D019458:Insurance Coverage / Q000458:organization & administration; D006278:Medicare / Q000458:organization & administration*; D010353:Patient Education as Topic; D028701:Patient Rights; D014481:United States