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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 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.
View this updated listing of targeted probe and educate (TPE) review topics.
View these round results for rehabilitation services outpatient.
Summary for hyperbaric oxygen therapy (October 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…
CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in Florida, Puerto Rico and the US Virgin Islands. Learn more about the program and how you can participate.
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),…