Medical review

Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover cosmetic surgery or expenses incurred in connection with such surgery.

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…

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their initial claim.

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their initial claim.

CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or after July 1, 2020.

CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or after July 1, 2020.

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for nail cutting / paring and debridement services.

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for nail cutting / paring and debridement services.

View targeted probe and educate (TPE) round results for end stage renal disease (ESRD).

View these round results for rehabilitation services outpatient.