The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837...

Physician certification statements (PCS) are required for patients who are under the direct care of a physician and are required...

This article is designed to assist medical providers with documenting the beneficiary’s medical condition supporting coverage...

The following article provides a list of common terms used by the medical review department for prior authorization requests.

Facet joint interventions may be used in pain management for chronic cervical/thoracic and lumbar/sacral pain arising from the...

CMS has removed CPT codes 64492 and 64495 from the listing of codes requiring prior authorization. View our article to learn...

A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a...

Repetitive, scheduled non-emergent ambulance transport (RSNAT) has been effective as of April 1, 2022. Through this program, a...

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

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