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CMS has removed CPT codes 64492 and 64495 from the listing of codes requiring prior authorization. View our article to learn more about these changes.
View targeted probe and educate (TPE) round results for clinical laboratory services: culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed CPT 87150.
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.
Repetitive, scheduled non-emergent ambulance transport (RSNAT) has been effective as of April 1, 2022. Through this program, a unique tracking number (UTN) is issued for each medical decision provided – whether affirmed or non-affirmed. Whe…
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 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 health care providers with a reference to use when responding to medical documentation requests for DRG validation services.
This checklist is intended to provide healthcare providers with a reference for use when responding to medical documentation requests for therapeutic radiation services.