What is “LMRP” in medical billing?

LMRP in Medical Billing

LMRP stands for Local Medical Review Policy, which outlines the criteria for medical necessity at the regional level.

LMRP in Medical Billing Explained

In medical billing, LMRPs are guidelines set by Medicare contractors to determine whether specific services are medically necessary for patients in a particular region. Providers must follow these policies to avoid claim denials.

For example, a provider checks the LMRP for their region to ensure that a specific procedure will be covered by Medicare.

Discover common acronyms and abbreviations in Medical billing glossary.

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