Current LCD and LCA:
- CGS Administrators: L36029, A54314
- First Coast Service Options: L36393
- National Government Services: L36037
- Noridian Healthcare Solutions: L36668, L36707, A55001, A54998, A55030, A55031
- Novitas Solutions: L35006
- Palmetto GBA: L35724, A54799, A53953
Retired LCD and LCA:
- CGS Administrators: A54315
- National Government Services: A54681
- Novitas Solutions: L32050
- Palmetto GBA: L35105, A53952
Comprehensive Error Rate Testing (CERT) Reports: https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/CERT/CERT-Reports.html
- Medicare Fee-for-Service 2016 Improper Payments Report
Electronic Code of Federal Regulations (e-CFR): https://www.ecfr.gov/cgi-bin/ECFR?page=browse&wb48617274=DB1FF8EB
- Title 42, Chapter IV - Section 410.32
Medicare Manuals: https://www.cms.gov/regulations-and-guidance/guidance/manuals/internet-only-manuals-ioms.html
- Medicare Benefit Policy Manual, Chapter 15, Section 80.6
Medicare Learning Network® (MLN): https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-mln/mlnmattersarticles/index.html
- “Provider Compliance Tips for Laboratory Tests – Other – Urine Drug Screening”
Medicare Administrative Contractors: https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Review-Contractor-Directory-Interactive-Map/
- Palmetto GBA: “2017 Controlled Substance Monitoring and Drugs of Abuse Coding and Billing Guidelines (M00128, V5)”
XIFIN Connected Health: https://www.xifin.com/
- “CERT Urine Drug Testing Errors”
Reuters Health News: http://www.reuters.com/
- “Exclusive: Medicare on Drugs: 24,000 Tests for 145 Patients”
Bloomberg BNA’s Health Care Fraud Report: https://www.bna.com
- “How Urine Drug Testing Fraud and Abuse is Impacting the Treatment Community”
Office of Legislative Research (OLR):
- “State Strategies for Addressing Prescription Drug Abuse”
Centers for Disease Control and Prevention: https://wwwn.cdc.gov/clia/Default.aspx
- Clinical Laboratory Improvement Amendments (CLIA)
American Medical Association (AMA) Store: https://commerce.ama-assn.org/store/
- CPT® 2016 Professional Edition
- 2016 Professional Edition HCPCS Level II
University of Connecticut:
- For background on the statistical tests used in this CBR, the University of Connecticut provides resources for the t-test and the chi-square test at: http://researchbasics.education.uconn.edu/.