Part B
Part B provider enrollment reconsideration requests
CMS recently changed their address for appealing opt-out decisions and CAP/reconsiderations. Read this article to find the new address.
Sole owner revalidations
Read this article for information on an important change to the Provider Enrollment Revalidation process for sole owner groups.
Sole owner revalidations
Read this article for information on an important change to the Provider Enrollment Revalidation process for sole owner groups.
Targeted probe and educate (TPE) round results: Clinical laboratory services (CPT 87150)
View targeted probe and educate (TPE) round results for clinical laboratory services: culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or…
Prior authorization tips and reminders
The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the following reminders prior to submitting your request.
Hospital outpatient department (OPD) prior authorization (PA) exemption process reminders
Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted and finalized.
Ambulance trip / run sheet record documentation
Read this article to learn more about ambulance trip / run sheets documentation.
Checklist: Pulmonary rehabilitation services
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.