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CMS recognizes the crucial role health care professionals play in promoting, providing, and educating Medicare patients about potentially life-saving preventive services and screenings. Medicare pays for a full range of preventive services…
CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or after July 1, 2020.
To ensure that our site meets the needs of providers, we carefully analyze feedback and implement changes to improve customer satisfaction.
View these recommendations for the best website experience.
Here is a list of billing links to help increase billing accuracy as well as links to other Medicare program-related resources.
This article has been revised to include instructions for completing the PAR, the PAR review and decision process, guidance on multiple or staged procedures, as well as best practices, tips and reminders related to the PAR.
Blepharoplasty, blepharoptosis repair and brow lift are surgeries that may be performed to improve function or provided strictly for cosmetic reasons. Functional or reconstructive eyelid surgery is performed to improve abnormal function, re…
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-byte unique tracking number (UTN) number…
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.
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