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Home Areas of InterestAdvocacyFederal Issues & ResourcesMedicare Coverage Issues

Coverage Issues
Medicare Coverage Database

Local Coverage Determinations [LCD]
Local Coverage Determinations [LCD]

Cardiac-Pulmonary Rehab
CMS National Coverage Determination on Pulmonary Rehabilitation (.pdf) - 12/5/07
MLN Article Regarding National Coverage Determination for Pulmonary Rehabilitation - 12/5/07
CMS Decision Memo for Pulmonary Rehabilitation - 9/25/07
Proposed Decision Memo for Pulmonary Rehabilitation (.pdf) - 7/26/07 Restricted
Comments on the NCA Tracking Sheet for Pulmonary Rehab (.pdf) - 1/26/07 Restricted
Summary of Cardiac Rehab NCD and Practitioner Guide (.pdf) - 4/26/06
MLN Matters Article on Cardiac Rehab Programs - 4/21/06
Comments on Reconsideration of Cardiac Rehabilitation Programs - 8/4/05
NCD for Cardiac Rehabilitation Programs

EMG
Program Memorandum B-01-28 (.pdf)

Infrared Therapy Devices
MLN Matters Article - Infrared Therapy Devices (.pdf) 12/18/06
NCD for Infrared Therapy Devices (270.6)

Lymphedema
APTA Comments to the Medicare Evidence Development & Coverage Advisory Committee (.pdf) - 10/20/09 Restricted
Medicare Coverage of Lymphedema Pumps

Manipulation
ACA Lawsuit on Manipulation Dismissed
APTA Says Physical Therapists Recognized to Perform Manipulation
APTA Statement RE: CMS Operational Policy Letter
APTA Update on CMS Operational Policy Letter
HCFA Says Physical Therapists May Perform Manipulation

Neuromuscular Electrical Stimulation [NMES]
Neuromuscular Electrical Stimulation (NMES) for Spinal Cord Injury

Urinary Incontinence
APTA Follow-up to HCFA on Medicare Coverage Advisory Committee's Vote on Urinary Incontinence
APTA Statement on Electrical Stimulation for the Treatment of Urinary Incontinence
APTA Testifies at MCAC Meeting on Biofeedback and Electrical Stimulation for Urinary Incontinence
APTA's Statement on Biofeedback for Treatment of Urinary Incontinence
Biofeedback & Electrical Stimulation as Interventions in Urinary Incontinence in Medicare Population
Medicare Decides to Uphold Noncoverage Policy for Home Biofeedback for Urinary Incontinence
National Coverage Policy for Biofeedback and E-Stim for Urinary Incontinence

Wound Care
CMS Issues Positive Coverage Decision Regarding Electrical Stimulation for Nonhealing Wounds
Coverage of Electrical Stimulation for Wound Care [APTA Letter to CMS] (.pdf)
Program Memorandum AB-02-161 (.pdf)
Text of Judge's Decision in Electrical Stimulation Case - Aitken v. Shalala, Civil Action No.

Medicare Contracting Reform
CMS Educational Article: Preparing for the MAC Transition (.pdf) - 11/13/08
Medicare Contracting Reform Resource Center (.pdf) - 10/8/08
MAC Transition Timeline (.pdf) - 3/3/09 Restricted
Assignment of Providers to Medicare Administrative Contractors (.pdf) - 5/16/08
CMS Medicare Administrative Contractor FAQs (.pdf) - 6/8/07
Medicare Administrative Contractor (MAC) Jurisdictions (.pdf) - 6/07

 
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