Medical review

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Vein ablation and related services

Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover cosmetic surgery or expenses incurred in connection with such surgery.

Vein ablation and related services

Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover cosmetic surgery or expenses incurred in connection with such surgery.

Targeted probe and educate (TPE) topics and schedule of review

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

Targeted probe and educate (TPE) topics and schedule of review

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

Understanding repetitive scheduled non-emergent ambulance transports

Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.

Understanding prior authorization (PA) for certain hospital outpatient department (OPD) services

The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA) program for certain hospital outpatient department (OPD) services.

Understanding prior authorization (PA) for certain hospital outpatient department (OPD) services

The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA) program for certain hospital outpatient department (OPD) services.

Prior authorization program for repetitive scheduled non-emergent ambulance transports

Background Submissions Extended affirmation periods

Targeted probe and educate (TPE) round results: Surgical services - nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 & HCPC G0127)

View targeted probe and educate (TPE) round results for nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 & HCPC G0127).

Targeted probe and educate (TPE) round results: Surgical services - nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 & HCPC G0127)

View targeted probe and educate (TPE) round results for nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 & HCPC G0127).