Medicare Regulatory Intelligence
for the Professionals Who Need It
Research, compare, and monitor Medicare regulations, coverage determinations, and payment data. AI-assisted analysis grounded in authoritative CMS sources — with full citations and a professional research environment.
AI-Powered Research Tool — Informational Use Only. Medicare Laws Expert delivers AI-generated analysis across 7 MAC jurisdictions. Outputs are produced by large language models — including technology from Anthropic and Google — and do not constitute legal advice. Always consult a licensed attorney for legal guidance.
A Research Environment Designed to Disappear
The interface gets out of the way. The regulation stays front and center. Nine precision-crafted themes adapt to your environment and preference — all persisted across sessions.
Platform Capabilities
Purpose-built tools for Medicare regulatory research and analysis.
AI Research Assistant
Ask questions in plain English and receive answers grounded in CMS regulations, coverage determinations, and payment policy. Every response includes citations to the specific sources referenced.
Coverage Determination Search
Search 344 National Coverage Determinations and 961 Local Coverage Determinations. Track coverage policy changes across all 7 MAC jurisdictions.
Medicare Payment Data
Explore 38 million CMS data rows — physician utilization, Part D prescribing, inpatient and outpatient charges, facility data, and geographic variation.
MAC Jurisdiction Navigator
Navigate the 7 Medicare Administrative Contractor regions. Compare coverage policies and payment rates across jurisdictions.
Clinical Evidence Integration
PubMed integration surfaces peer-reviewed clinical evidence alongside regulatory citations. Strengthen coverage appeal arguments with published research.
Coverage Change Alerts
Subscribe to NCD and LCD changes by topic, MAC jurisdiction, or specific coverage determination. Get notified when coverage policy updates affect your practice.
Comprehensive Medicare Coverage
Federal law, CMS policy, and MAC-level coverage determinations aggregated from authoritative sources — growing daily.
Authoritative Data Sources
Built for the Medicare Policy Ecosystem
Designed to serve the professionals who shape, interpret, and navigate Medicare law.
Healthcare Attorneys
Accelerate Medicare legal research with cited regulatory references. Coverage determinations, appeals authority, and compliance requirements at your fingertips.
Compliance Officers
Monitor coverage policy changes, track CoP requirements by facility type, and stay ahead of regulatory updates across MAC jurisdictions.
Medical Billing Specialists
Look up HCPCS codes, DRG payments, and coverage criteria. Cross-reference LCDs and NCDs to validate billing decisions.
Coverage Appeal Consultants
Build stronger appeal arguments with NCD/LCD citations, clinical evidence from PubMed, and cross-jurisdiction payment comparisons.
Hospital Administrators
Track facility compliance requirements, geographic payment variation, and coverage determination changes that affect your institution.
Medicare Advantage Plans
Monitor coverage policy changes across jurisdictions, compare payment data, and ensure plan offerings align with current CMS requirements.
How It Works
From official CMS source material to actionable Medicare regulatory intelligence.
Aggregate
3,579 active sources continuously monitored — NCDs, LCDs, CMS manuals, federal regulations, and CMS structured data. Coverage API integration pulls the latest determinations automatically.
Analyze & Index
49,000+ legal document chunks processed into a high-fidelity knowledge base with 768-dim vector embeddings. 38 million CMS data rows imported for structured queries.
Research & Report
Query using natural language or targeted search. AI synthesizes findings from regulations, coverage determinations, payment data, and clinical evidence with full citations.
Request Demo Access
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