Medical review

Review the top denial / partial denial reasons and high-level results listed for DRG 885.

Review the top denial / partial denial reasons and high-level results listed for DRG 885.

Repetitive, scheduled non-emergent ambulance transport (RSNAT) has been effective as of April 1, 2022. Through this program, a unique tracking number (UTN) is issued for each medical decision…

Learn how to complete the the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance transports.

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.

The Comparative Billing Report (CBR) for Part B providers furnishes a detailed examination of the comparative data that Medicare considers when determining how the provider’s billing patterns…

Background Submissions Extended affirmation periods Claim submission tips