Prior authorization

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Prior authorization tips and reminders

The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the following reminders prior to submitting your request.

Ambulance Prior Authorization Documentation Requirements

Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization request (PAR) for repetitive, scheduled, non-emergency transport.

Ambulance prior authorization - documentation checklist for medical professionals

Review this checklist to learn about the documentation requirements for medical professionals related to the repetitive, scheduled, non-emergency prior authorization program.

Hospital outpatient department (OPD) prior authorization exemption process

Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption…

Hospital outpatient department (OPD) prior authorization exemption process

Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption…

Implantation of Spinal Neurostimulator

CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.

Implantation of Spinal Neurostimulator

CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.

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 questions regarding the different timeframes and dates relating to the…

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 questions regarding the different timeframes and dates relating to the…