Medical review

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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 potential non-affirmations. Review this article to avoid non-affirmations…

Prior authorization for hospital outpatient department services: Don’t wait too long to submit your prior authorization requests

When submitting prior authorization requests, be aware of response timeframes and documentation guidelines.

Prior authorization for hospital outpatient department services: Don’t wait too long to submit your prior authorization requests

When submitting prior authorization requests, be aware of response timeframes and documentation guidelines.

Instructions for completing the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance transport

Learn how to complete the the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance transports.

Prior authorization of ambulance claims requires UTN in proper field

Repetitive, scheduled non-emergent ambulance transport (RSNAT) has been effective as of April 1, 2022. Through this program, a unique tracking number (UTN) is issued for each medical decision…

Prior authorization: Facet joints and cervical fusion

CMS has removed CPT codes 64492 and 64495 from the listing of codes requiring prior authorization. View our article to learn more about these changes.

Prior authorization: Facet joints and cervical fusion

CMS has removed CPT codes 64492 and 64495 from the listing of codes requiring prior authorization. View our article to learn more about these changes.

Facet joint interventions for pain management

Facet joint interventions may be used in pain management for chronic cervical/thoracic and lumbar/sacral pain arising from the paravertebral facet joints. Imaging guidance (fluoroscopy or CT per code…

Facet joint interventions for pain management

Facet joint interventions may be used in pain management for chronic cervical/thoracic and lumbar/sacral pain arising from the paravertebral facet joints. Imaging guidance (fluoroscopy or CT per code…

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 for non-emergent ambulance transportation.