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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.
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…
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.
CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory Surgical Centers (ASCs) and will be implementing the demonstration in two phases.
Read this article to learn more about CERT reviews for vaccine and roster billed claims.
Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization request (PAR) for repetitive, scheduled, non-emergency transport.
View TPE round results for evaluation and management services - outpatient office visits.
View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for musculoskeletal system and connective tissue procedures (DRG 515, 516 and 517).
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for outpatient hospital services.