JJ Open Meeting: June 28, 2021


A/B MAC LCDs

1. Advance Care Planning DL38970
2. Epidural Procedures for Pain Management DL38994
3. Repetitive Transcranial Magnetic Stimulation (rTMS) in Adults with Treatment Resistant Major Depressive Disorder DL34869
 

MolDX LCDs

1. MolDX: Biomarkers to Risk Stratify Patients at Increased Risk for Prostate Cancer DL38985
2. MolDX: Melanoma Risk Stratification Molecular Testing DL37725
3. MolDX: Multiplex Nucleic Acid Amplification Test (NAAT) Panels for Infectious Disease Testing DL38988
4. MolDX: Next-Generation Sequencing Lab-Developed Tests for Inherited Cancer Syndromes DL38966

The Centers for Medicare & Medicaid Services (CMS) assigned Palmetto GBA the task of developing local coverage determinations (LCDs) for processing and reviewing Medicare claims for Jurisdictions J. These LCDs can be found utilizing the Proposed LCD by Contractor Report on the Medicare Coverage Database. The entire LCD and related billing and coding article should be completely reviewed prior to the preparation of comments.

Palmetto GBA is soliciting comments on these proposed LCDs from physicians, manufacturers, suppliers and other professionals involved in the ordering and/or provisioning of these items. Other stakeholder comments are also welcomed. For medical professionals, we ask that you distribute these proposed LCDs to selected members of your organization for review and comment. If you disagree with any aspect of an LCD, you should be very specific in your comment and, if possible, offer an alternative. You should provide a clinical rationale for your position, including references from published clinical literature (e.g., peer-reviewed journals, clinical society guidelines, etc.). Submission of full-text literature supporting your position is strongly encouraged. We ask for a written response, regardless of your agreement or disagreement.  

Please submit your comments electronically to Palmetto GBA at A.Policy@palmettogba.com, B.Policy@palmettogba.com or MolDX.Policy@palmettogba.com  no later than July 3, 2021.  

An open meeting will be held via teleconference only (due to COVID-19). This meeting will be recorded and will be published on the Palmetto GBA website. Interested parties from within the jurisdiction may attend this open meeting. This meeting is for oral presentations only. Palmetto GBA requires all presenters at the open meeting to also submit their oral comments through the formal comment process.

Conference Title: Palmetto GBA Open Meeting

Conference Date: June 28, 2021

Conference Time: Jurisdiction J (JJ) 2:30 – 3:15 p.m. ET

Conference Location: Teleconference Only

Conference Dial-In Number: 877–375–2583 or (803) 264–0123

Passcode: 987225    

Advance registration is required. 

Registration must be completed prior to June 4, 2021. Register now. You will receive your confirmation email once you complete registration. Palmetto GBA reserves the right to limit the time for oral comments as determined by the number LCDs to be discussed and the number of requests for presentation.

Note: You may enter "n/a" if you do not have an NPI or PTAN.

Presenters must submit a copy of your presentation and signed consent form to A.Policy@palmettogba.com, B.Policy@palmettogba.com or MolDX.Policy@palmettogba.com  on or before June 4, 2021 (required).

An agenda will be published two weeks prior to the open meeting.

Important reminder: Providers and/or suppliers are cautioned not to make any changes based upon the information contained in a proposed LCD. Proposed LCDs are often substantially revised based upon the comments received. Revisions will be considered once all comments have been reviewed. The final LCD will be published in the CMS Medicare Coverage Database and on individual contractors’ websites, allowing for a minimum of 45-days’ public notice before the LCD becomes effective.

Refer to each contractor’s website for additional information about LCD development and for copies of the draft LCDs.

Meeting Materials

JJ Open Meeting Agenda (PDF, 131 KB)

JJ Meeting Videos: Transcript (PDF, 141 KB)

JJA Video

JJB Video

 

 





Last Updated: 07/09/2021