Checklist: Ambulance
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...
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Checklist: Chronic care management (CCM)
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Checklist: Home health referrals
Medicare home health referrals must contain information in the medical record from the certifying physician and/or acute/post...
Checklist: Surgical services - Cataract extraction
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Targeted probe and educate (TPE) round results: Wound care (CPT 11042 and 11045)
View targeted probe and educate (TPE) round results for wound care (CPT 11042 and 11045).
Part B service-specific review - ambulance services (HCPCS code A0428 with A0425)
Summary for ambulance services (October 2020).
Targeted probe and educate (TPE) round results: Ambulance services - basic life support non-emergent transport and mileage (HCPCS A0428 and A0425)
View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and...
Understanding prior authorization (PA) for certain hospital outpatient department (OPD) services
The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA)...
Podiatry
Information pertaining to podiatry, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other...
Targeted probe and educate (TPE) round results: Rehabilitation services outpatient (KX modifier)
View TPE round results for rehabilitation services outpatient (KX modifier).