Part B service-specific review – clinical laboratory presumptive and definitive drug testing
Summary for Clinical Labs (November 2020).
Articles
Category
Part B service-specific review -- outpatient rehabilitation services (CPT code 97110)
Summary for outpatient rehabilitation services (August - November 2020 and August 2021).
Part A service-specific review -- (CPT 97110 therapeutic activities)
Summary for outpatient rehabilitation services (August - November 2020).
Part A service-specific review -- (CPT 97530 therapeutic activities)
Summary for outpatient rehabilitation services (January through August 2021)
Part B service-specific review – psychotherapy services (CPT codes 90832-90839)
Summary for psychotherapy services (December 2020 - March 2021).
Part B service-specific review – clinical laboratory lipid panel (80061)
Summary for clinical laboratory lipid panel (June and July 2021).
Part A service-specific review -- hyperbaric oxygen therapy (G0277)
Summary for outpatient rehabilitation services (December 2020).
Part B service-specific review – drugs and biologicals (J0178 Eylea, J0897 Prolia, J2778 Lucentis, J9217 Lupron (Leuprolide))
Summary for drugs and biologicals (April-May 2021).
Prior authorization (PA) program for certain hospital outpatient department (OPD) services: General documentation requirements
To meet coverage criteria, the patient's medical record must contain documentation that fully supports the medical necessity for...
Checklist: Transitional Care Management services documentation
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...