CMS develops national coverage determinations on an ongoing basis, and __________ create(s) edits for NCD rules, which are local coverage determinations.
A) BlueCross BlueShield
B) Medicaid
C) Medicare administrative contractors
D) third-party payers

Question

Quizplus · Accepted Answer

Medicare administrative contractors (MACs) are responsible for creating edits for National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs).

CMS Develops National Coverage Determinations on an Ongoing Basis, and __________