Medical review
Panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy), and related services
Effective for dates of service July 1, 2020, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for panniculectomy, excision of excess skin and…
Implantation of Spinal Neurostimulator
CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.
Hospital outpatient department (OPD) prior authorization exemption process
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption…
Implantation of Spinal Neurostimulator
CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.
Ambulance prior authorization - documentation checklist for medical professionals
Review this checklist to learn about the documentation requirements for medical professionals related to the repetitive, scheduled, non-emergency prior authorization program.
Hospital outpatient department (OPD) prior authorization exemption process
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption…
YouTube video: Answers to your prior authorization exemption questions
Are you participating in prior authorization and want to know how to maintain exemption within this program? Do you have questions regarding the different timeframes and dates relating to the…
YouTube video: Answers to your prior authorization exemption questions
Are you participating in prior authorization and want to know how to maintain exemption within this program? Do you have questions regarding the different timeframes and dates relating to the…
Checklist: Therapeutic radiation-radiology services documentation
This checklist is intended to provide healthcare providers with a reference for use when responding to medical documentation requests for therapeutic radiation services.
Checklist: Cataract extraction
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for surgical services: cataract extraction.