National Coverage Determination (NCD) and Local Coverage Determination (LCD) Guidance – How will an ALJ view these coverage guidelines when the Court is assessing whether my Medicare claims should be paid?

When treating patients, it is not uncommon for a physician to prescribe or utilize certain drugs and / or diagnostic treatments in an "off-label" fashion. Depending on the insurance policy at issue, this may or may not be covered and paid by a third-party payor. In the case of Medicare, the Centers for Medicare and […]

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