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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…
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Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and excessive muscle contractions, such as dystonia, spasms, and twitches.
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers should be billed.
This edition includes information on National Recovery Month, prior authorization for osteogenesis stimulators, new code for Kisunla drug, and more.
This table of MLN Matters articles includes articles released by CMS from July through September.
This edition includes information on the upcoming HCPCS public meeting, health literacy for patients, PrEP for HIV billing, and more.
The provider enrollment gateway can be used as a secure mechanism for providers and suppliers to upload paper enrollment applications, submit responses to development requests for an application submitted through the gateway, request a c
Update: Providers have reported that stay of enrollment letters have been found in their spam folder when sent via email. Please ensure your spam folder is monitored for any provider enrollment correspondence.
As a MAC, First Coast does not provide the "Informativa de Ingreso 480.6A" or an equivalent document disclosing the provider's annual reimbursement to providers in Puerto Rico or the U.S. Virgin Islands. This article provides options to acc…