Medical review

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.

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for Drugs and Biologicals.

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for Drugs and Biologicals.

CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.

CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.

CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in Florida, Puerto Rico and the US Virgin Islands. Learn more about the program…

Due to a claim issue identified, exempt hospital OPDs will be receiving a revised exemption ADR letter with a revised letter fax cover sheet.

Due to a claim issue identified, exempt hospital OPDs will be receiving a revised exemption ADR letter with a revised letter fax cover sheet.

First Coast has compiled a list of questions on specific topics that are listed in the CMS IRF RCD Medical Records Review Checklist as well as the Code of Federal Regulations that providers can use…

First Coast has compiled a list of questions on specific topics that are listed in the CMS IRF RCD Medical Records Review Checklist as well as the Code of Federal Regulations that providers can use…