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Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption would remain in effect for a 12-month peri…
The code list for drugs has been updated.
A list of the EDI and SPOT enrollment forms.
View these webinar recordings on all things SPOT-related, including features and functionality, eligibility and MBI lookup, submitting electronic claims, and more.
How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.
View targeted probe and educate (TPE) round results drugs and biologicals (HCPCS J1569).
This edition includes information for critical access hospitals, skilled nursing facilities, inpatient psychiatric facilities, and more.
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.
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests pertaining to clinical laboratory services. Health care providers retain responsibility to submit complet…
Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Review this article for more details on pass-through devices in an ambulatory surgical center (ASC).