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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 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 evaluation and management (E&M) services (on or after January 1, 2023).
Summary for drugs and biologicals (April-May 2021).
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for vascular stenting lower extremities (CPT 37227) and endovascular revascularization (CPT 37229).
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for wound debridement / care services.
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).
CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or after July 1, 2020.
This article has been revised to include instructions for completing the PAR, the PAR review and decision process, guidance on multiple or staged procedures, as well as best practices, tips and reminders related to the PAR.
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.