Search results
Filter by type
Line of business
Category
Filter by date
20 of 56 results
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.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for hyperbaric oxygen (HBO) therapy services.
Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and suppliers during a disaster.
This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.