Vein ablation and related services
Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover...
Articles
Article Type
Category
Skin substitute graft for treatment of DFU and VLU lower extremities (15271-15278)
View targeted probe and educate (TPE) round results for 15271-15278.
Part B service-specific review -- hyperbaric oxygen therapy (CPT code 99183)
Summary for hyperbaric oxygen therapy (October 2020).
Understanding the prior authorization (PA) demonstration for ambulatory surgical center (ASC) services
This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.
Checklist: Outpatient hospital services
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...
Checklist: Musculoskeletal system and connective tissue or procedures
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...
Fast facts: CERT administrative relief during a disaster
Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and...
Post-payment service-specific reviews
Medical review of claims helps to ensure that Medicare pays for services that are covered, correctly coded, and medically...
Targeted probe and educate (TPE)
TPE is one process that a MAC can utilize when providers are selected by medical review.
Skilled nursing facility (SNF) 5-claim probe and educate (P&E) review
View this article for information concerning requirements of change request 13164.