This webinar will review the prior authorization (PA) demonstration for certain ambulatory surgical center (ASC) services for the states of Florida, Maryland, Pennsylvania, and Texas. The service categories targeted by the demonstration are blepharoplasty (eyelid surgery), brow lift, and related services; botulinum toxin injections; panniculectomy and excision of excess skin and subcutaneous tissue (including lipectomy), and related services; rhinoplasty and related services; and vein ablation and related services. Under PA, the provider submits the prior authorization request (PAR) and supportive medical documentation to the Medicare Administrative Contractor (MAC) and receives an affirmed or non-affirmed decision prior to rendering the service. This webinar will review the PAR process, review decision timeframes, potential results and documentation guidelines. Members of our PA team will be available for questions relating to the PA demonstration.
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- Prior Authorization (PA) Demonstration for Certain Ambulatory Surgical Center (ASC) Services