Part B

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Understanding prior authorization (PA) for certain hospital outpatient department (OPD) services

The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA) program for certain hospital outpatient department (OPD) services.

Physical therapist (PT) in private practice

Read this article for instructions on enrolling in Medicare as a physical therapist.

Recovery Audit Program

Who / what is a recovery auditor? 

Recovery Audit Program

Who / what is a recovery auditor? 

Diabetes self-management training (DSMT) provider

View requirements for becoming a DSMT provider with Medicare.

Diabetes self-management training (DSMT) provider

View requirements for becoming a DSMT provider with Medicare.

Hospice/home health: Additional resources

Here are additional educational resources identified specifically for hospice and home health care.

Rehabilitation services

Information pertaining to Part B rehabilitation services, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other resources.

Rehabilitation services

Information pertaining to Part B rehabilitation services, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other resources.

Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays

Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…