Prompt payment interest rate revision
The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 4.625% is in effect...
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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...
Completing the Medicare enrollment CMS-855I application
View these instructions for the CMS-855I form.
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.
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).
Ambulance physician certification statement
Physician certification statements (PCS) are required for patients who are under the direct care of a physician and are required...