Botulinum toxin injections
Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and...
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Targeted probe and educate (TPE) round results: Wound debridement
View TPE round results for wound debridement (CPT 11102-11103, 11200-11201, 11300-11303, 11305-11313 and 11401-11406, 11421...
Targeted probe and educate (TPE) round results: Wound care (CPT 11042 and 11045)
View targeted probe and educate (TPE) round results for wound care (CPT 11042 and 11045).
Checklist: Psychotherapy services
This checklist is an aid to assist providers with documentation pertaining to psychotherapy services.
Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J7318-J7329, J7331-J7332)
View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).
Targeted probe and educate (TPE) round results: Skilled nursing facility (SNF)
Review the top denial / partial denial reasons and high-level results of SNF TPE round results.
Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
Prior authorization of ambulance claims requires UTN in proper field
Repetitive, scheduled non-emergent ambulance transport (RSNAT) has been effective as of April 1, 2022. Through this program, a...
YouTube video: Answers to your prior authorization exemption questions
Are you participating in prior authorization and want to know how to maintain exemption within this program? Do you have...
Prior authorization for hospital outpatient department services: Don’t wait too long to submit your prior authorization requests
When submitting prior authorization requests, be aware of response timeframes and documentation guidelines.