Medical review

Effective for dates of service July 1, 2020, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for panniculectomy, excision of excess skin and…

Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for chemotherapy, drugs, biologicals, and injection services.

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for chemotherapy, drugs, biologicals, and injection services.

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for Ambulance transports.

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for AWV. Health care providers retain responsibility to submit…

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for AWV. Health care providers retain responsibility to submit…

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for Ambulance transports.

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for chronic care management (CCM) services.

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for chronic care management (CCM) services.