Medical review

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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…

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…

Rhinoplasty and related services

Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.

Rhinoplasty and related services

Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.

Checklist: Chemotherapy, drugs, biologicals, and injection services

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for chemotherapy, drugs, biologicals, and injection services.

Checklist: Chemotherapy, drugs, biologicals, and injection services

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for chemotherapy, drugs, biologicals, and injection services.

Checklist: Annual wellness visit (AWV)

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for AWV. Health care providers retain responsibility to submit…

Checklist: Annual wellness visit (AWV)

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for AWV. Health care providers retain responsibility to submit…

Checklist: Chronic care management (CCM)

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for chronic care management (CCM) services.

Checklist: Chronic care management (CCM)

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for chronic care management (CCM) services.