Part B

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Ambulance prior authorization documentation requirements

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.

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…

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…

Comprehensive Error Rate Testing (CERT) checklists

These checklists are intended to provide health care providers with a reference for use when responding to CERT documentation requests for the selected claim sample.

Comprehensive Error Rate Testing (CERT) checklists

These checklists are intended to provide health care providers with a reference for use when responding to CERT documentation requests for the selected claim sample.

Ambulatory surgical center

Find the latest Medicare news identified specifically for ASC providers as well as helpful information, tools, and links to CMS resources pertaining to this specialty. We recently revised this page…

Marriage and family therapist (MFT)

Read about the requirements for becoming a marriage and family therapist with Medicare.

Tools & forms: Compliance / Review

Access tools and forms related to the prior authorization program, CERT, and provider audit.

Tools & forms: Appeals

Use these self-service tools and forms to appeal claim decisions.

Tools & forms: Compliance / Review

Access tools and forms related to the prior authorization program, CERT, and provider audit.