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This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for ambulance transports.
Access tools and forms related to the prior authorization program, CERT, and provider audit.
The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA) program for certain hospital outpatient department (OPD) services.
View these round results for rehabilitation services outpatient.
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 Mohs micrographic surgery services.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for Application of skin substitutes. It is not intended to replace the published guidelines. Health ca…
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for Skilled Nursing Facility (SNF) services.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for evaluation and management (E&M) services (on or after January 1, 2023).
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for transitional care management (TCM) services.