Prior authorization fax coversheet
CMS is implementing a prior authorization program for certain hospital outpatient department services for dates of service on or...
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Attention exempt hospital outpatient departments (OPDs): Revised additional documentation request (ADR) letters
Due to a claim issue identified, exempt hospital OPDs will be receiving a revised exemption ADR letter with a revised letter fax...
Submit medical review documentation electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your...
Checklist: Hyperbaric oxygen (HBO) therapy documentation
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Signature guidelines: 20-day timeframe for additional documentation requests
When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a...
Signature requirement samples
Medicare signature requirements sample signature log and sample signature attestation statement.
Checklist: Diagnostic-Related Group (DRG) Validation
This checklist is intended to provide health care providers with a reference to use when responding to medical documentation...
Part B service-specific review -- hyperbaric oxygen therapy (CPT code 99183)
Summary for hyperbaric oxygen therapy (October 2020).
Part B service-specific review – clinical laboratory presumptive and definitive drug testing
Summary for Clinical Labs (November 2020).
Part B service-specific review -- outpatient rehabilitation services (CPT code 97110)
Summary for outpatient rehabilitation services (August - November 2020 and August 2021).