Medical review
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…
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.
Checklist: Cardiac rehabilitation services
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.
Checklist: Cardiac rehabilitation services
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.
Checklist: Pulmonary rehabilitation services
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.
Checklist: Pulmonary rehabilitation services
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.
CBR Guide - Part B
The Comparative Billing Report (CBR) for Part B providers furnishes a detailed examination of the comparative data that Medicare considers when determining how the provider’s billing patterns…
Prior authorization program for repetitive scheduled non-emergent ambulance transports
Background
Submissions
Extended affirmation periods
Claim submission tips
Prior authorization program for certain hospital outpatient department services - claim submission guidelines
Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any service that was part of a partially affirmed decision, must include the 14…
Prior authorization program for certain hospital outpatient department services - claim submission guidelines
Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any service that was part of a partially affirmed decision, must include the 14…