Prior authorization: Facet joints and cervical fusion
CMS has removed CPT codes 64492 and 64495 from the listing of codes requiring prior authorization. View our article to learn...
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Checklist: Chronic care
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Checklist: Clinical labs
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
How to bill correctly for transcranial magnetic stimulation (TMS) in the treatment of adults with major depressive disorder
First Coast is receiving first-level appeals (redeterminations) based on claim denials for providers not including the ordering...
Targeted probe and educate (TPE) round results: Diagnostic radiology (CPT 93978)
View targeted probe and educate (TPE) round results for diagnostic radiology.
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...
Checklist: Outpatient therapy and rehabilitation services
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: Psychotherapy services (CPT 90832, 90834, 90837)
View TPE round results for psychotherapy services.
Checklist: Inpatient admission documentation
This checklist is an aid to assist providers with responding to medical record documentation requests.
Provider documentation tool for non-emergent ambulance transportation
This article is designed to assist medical providers with documenting the beneficiary’s medical condition supporting coverage...