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The following article provides a list of common terms used by the medical review department for prior authorization requests.
First Coast has created a new standard roster billing form for COVID-19 vaccinations and monoclonal antibody infusion. This article provides information for billing the vaccine, infusion, and administration codes.
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.
This checklist is an aid to assist providers with responding to medical record documentation requests.
Read this article to learn how to count units to properly bill therapy HCPCS codes.
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 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.