Articles

View TPE round results for evaluation and management services - outpatient office visits.

CMS is delaying the start date for the PA demonstration for certain services provided in ASCs and will be implementing the...

Prior authorization is a process through which coverage is determined prior to providing or billing the service. This process...

Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover...

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

Effective for dates of service July 1, 2020, and after, hospital outpatient department (HOPD) providers will need to obtain...

Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and...

Blepharoplasty, blepharoptosis repair and brow lift are surgeries that may be performed to improve function or provided strictly...

View this updated listing of targeted probe and educate (TPE) review topics.

The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA)...