ENFORCEMENT OF NATIONAL COVERAGE DETERMINATION (NCD) GUIDELINES POLICY

Date: 02/06/24

We are informing our provider partners of a new policy Meridian will implement effective on or after February 15, 2024.

Thank you for your continued partnership with Meridian as we continuously evaluate and improve the overall payment integrity solutions to render quality healthcare to our members, as required by state and federal governing entities. We look forward to helping you provide the highest quality of care.

Edit Name	Description	Lines of Business
NCD Non-Covered Lab Diagnosis	Enforcement of National Coverage Determination (NCD) guidelines when diagnostic lab testing services are billed only with a diagnosis that is not covered per the NCD.	MMP Medicare Marketplace