Articles

How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.

Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to...

CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in...

Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization...

View current and prior year's portable x-ray reimbursement rates.

Read this article to learn more about CERT reviews for vaccine and roster billed claims.

CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory...

Blepharoplasty, blepharoptosis repair and brow lift are surgeries that may be performed to improve function or provided strictly...

CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or...

Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and...