Prior authorization requests (PARs): How to avoid potential non-affirmations
When submitting a prior authorization request (PAR), be mindful of specific guidelines relating to proper submission to avoid...
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CBR Guide - Part B
The Comparative Billing Report (CBR) for Part B providers furnishes a detailed examination of the comparative data that Medicare...
Checklist: Pulmonary rehabilitation services
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...
Checklist: Cardiac rehabilitation services
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...
Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
Targeted probe and educate (TPE) round results: Clinical laboratory services (CPT 87150)
View targeted probe and educate (TPE) round results for clinical laboratory services: culture, typing; identification by nucleic...
The SPOT User Guide: Section 7 - Claim submission / ERA
The Claims submission / ERA option allows you to submit electronic claims via batch files and retrieve the electronic reports...
E/M interactive worksheet: Help guide - Initial information
Learn how to take advantage of the features of our exclusive E/M interactive worksheet and find the code that best represents...
Prior authorization program for certain hospital outpatient department services - claim submission guidelines
Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any...