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CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or after July 1, 2020.
View these guidelines for completing the CMS-855A enrollment application for Part A institutional providers.
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related policy information, IOMs, and resources.
View the qualification and documentation requirements for becoming a Medicare-enrolled clinical nurse specialist.
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.
View the most recent updates for our LCDs and articles. The comment period for Trigger Point Injections is now closed.
Complete review of the Claim submission / ERA feature in SPOT.