Documentation of Notices Regarding Coverage

120.1 - Documentation of Notices Regarding Coverage (Rev. 1186, Issued: 02-23-07; Effective: 01-01-06; Implementation: 05-23-07) A critical step in the implementation of the limitation on liability provision is the distribution by contractors of notices regarding coverage issues to the medical community, or to specific segments of it, such as laboratories or certain physician specialty groups. An ongoing program of communication by contractors is essential. Timely communication of existing general notices to physicians and suppliers new to a contractor’s service area is essential. The existence of written general notices will often determine the extent of program liability. As a minimum, the contractor should have a program for dissemination of the coverage guidelines published in the National Coverage Determinations Manual and the Medicare Benefit Policy Manual, as well as other guidelines contained in this manual for determining medical necessity and others issued from time to time in other CMS issuances.