Medical review

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Targeted probe and educate (TPE) round results: End stage renal disease (ESRD) (CPT 90960)

View targeted probe and educate (TPE) round results for end stage renal disease (ESRD).

Prior authorization program initiatives

Prior authorization is a process through which coverage is determined prior to providing or billing the service. This process allows the provider to submit documentation prior to providing or billing…

Botulinum toxin injections

Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and excessive muscle contractions, such as dystonia, spasms, and twitches.

Prior authorization program initiatives

Prior authorization is a process through which coverage is determined prior to providing or billing the service. This process allows the provider to submit documentation prior to providing or billing…

Blepharoplasty, eyelid surgery, brow lift, and related services

Blepharoplasty, blepharoptosis repair and brow lift are surgeries that may be performed to improve function or provided strictly for cosmetic reasons. Functional or reconstructive eyelid surgery is…

Botulinum toxin injections

Botulinum toxins are potent neuromuscular blocking agents that are useful in treating various focal muscle spastic disorders and excessive muscle contractions, such as dystonia, spasms, and twitches.

Blepharoplasty, eyelid surgery, brow lift, and related services

Blepharoplasty, blepharoptosis repair and brow lift are surgeries that may be performed to improve function or provided strictly for cosmetic reasons. Functional or reconstructive eyelid surgery is…

Rhinoplasty and related services

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

Rhinoplasty and related services

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

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

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