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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 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.
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests pertaining to clinical laboratory services. Health care providers retain responsibility to submit complet…
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests pertaining to diagnostic radiology.
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 Application of skin substitutes. It is not intended to replace the published guidelines. Health ca…