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This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for ESRD services.
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.
Summary for ambulance services (October 2020).
Summary for hyperbaric oxygen therapy (October 2020).
View this summary for outpatient rehabilitation services (August - November 2020 and August 2021).
View this summary for outpatient rehabilitation services (December 2020).
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…
Review this checklist to learn about the documentation requirements for medical professionals related to the repetitive, scheduled, non-emergency prior authorization program.
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.
Effective for dates of service July 1, 2020, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy),…