RSNAT (repetitive scheduled non-emergent ambulance transportation) glossary tool
The following article provides a list of common terms used by the medical review department for prior authorization requests.
Articles
Article Type
Category
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...
Targeted probe and educate (TPE) round results: Surgical services - Mohs surgery (CPT 17311-17315)
View targeted probe and educate (TPE) round results: Surgical services - Mohs surgery (CPT 17311-17315).
RSNAT: Process
Subsequent requests
More than 60 days of transport
To avoid payment interruptions, submit the subsequent prior authorization...
Targeted probe and educate (TPE) round results: Surgical services - nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 & HCPC G0127)
View targeted probe and educate (TPE) round results for nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 &...
Ambulance physician certification statement
Physician certification statements (PCS) are required for patients who are under the direct care of a physician and are required...
Do you call for multiple facilities? Upcoming changes to Provider Contact Center policies
Effective August 11, the Provider Contact Center will service up to three inquiries for only one PTAN / NPI combination per call...