Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any...

To submit a prior authorization request, complete the prior authorization coversheet. Failure to populate every field could...

The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the...

CMS is implementing a prior authorization program for certain hospital outpatient department services for dates of service on or...

To meet coverage criteria, the patient's medical record must contain documentation that fully supports the medical necessity for...

View these submission guidelines when submitting prior authorization requests for certain hospital outpatient department...

Here is a list of billing links to help increase billing accuracy as well as links to other Medicare program-related resources.

Verify with the sender that you have the correct passphrase/password to open the email attachment or file. Use this information...

View these recommendations for the best website experience.

To ensure that our site meets the needs of providers, we carefully analyze feedback and implement changes to improve customer...