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Make sure to access our new and improved form which simplifies the submission of your Part A redeterminations.
The following article provides the requirements of the form locators within the CMS-1450 (UB-04) paper claim form and their electronic equivalents.
A procedure can have other policies or guidelines besides an LCD or NCD. The CMS website has a wealth of information. Read this article for more information.
The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the following reminders prior to submitting your request.
Read this article to learn how to resolve claim rejects for reason code 34963.
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for nursing home services.
This checklist is intended to provide health care providers with a reference to use when responding to medical documentation requests for DRG validation services.
This checklist is intended to provide healthcare providers with a reference for use when responding to medical documentation requests for therapeutic radiation services.
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for aftercare, musculoskeletal system and connective tissue (DRG 559, 560 and 561) services.
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac defibrillator implant w/o cardiac cath (DRG 226 and 227) services.