59 Search results for "authorization"

1. September 2016 Medicaid Bulletin Available

   • Sep 2, 2016
   • Category: Provider Announcements - 2016

   ... nt of Mid-Level Providers - Procedures for Prior Authorization of Synagis for Respiratory Syncytial...
   

2. Latest Medicaid Pharmacy Newsletter Available

   • Aug 31, 2016
   • Category: 2013-2016 Pharmacy Announcements

   ... Ulesfia Lotion Terminated - Procedures for Prior Authorization of Synagis for Respiratory Syncytial...
   

3. Bypass for PA Edit When Medicare is Primary Payor

   • Aug 11, 2016
   • Category: Provider Announcements - 2016

   ... claim for Medicare do not require Medicaid prior authorization (PA). A previously identified issue ...
   

4. July 2016 Medicaid Bulletin Available

   • Jul 5, 2016
   • Category: Provider Announcements - 2016

   ... tient Specialized Therapy Claim Denials for Prior Authorization - Pharmacy Reimbursement Methodolo...
   

5. Claim Issue for Outpatient Specialized Therapy Services

   • May 24, 2016
   • Category: Provider Announcements - 2016

   ... ATIENT SPECIALIZED THERAPY SERVICES REQUIRE PRIOR AUTHORIZATION. In these cases, the benefit health ...
   

6. Update on Outpatient Specialized Therapy Claims and PA

   • Apr 29, 2016
   • Category: Provider Announcements - 2016

   ... Therapy claims will deny when the required prior authorization (PA) has been denied or has expired,...
   

7. Reminder - TPL bypass for High Tech Imaging (eviCore) Claims

   • Apr 22, 2016
   • Category: Secondary Claims Announcements

   ... ims denying in error for lack of an eviCore prior authorization when retroactive changes have been m...
   ... icy 1K-7 for the list of codes that require prior authorization for high tech imaging.   * In...
   

8. April 2016 Medicaid Bulletin Available

   • Apr 4, 2016
   • Category: Provider Announcements - 2016

   ... ge in Processing of Accounts Receivable - Prior Authorization for Outpatient Specialized Therapies...
   

9. New DME Edit for HCPCS code E0483

   • Jan 29, 2016
   • Category: Provider Announcements - 2016

   ... is listed as Lifetime. The device requires Prior Authorization. Once prior authorization has been g...
   

10. TPL bypass for High Tech Imaging (eviCore) Claims

    • Jan 29, 2016
    • Category: Secondary Claims Announcements

    ... ims denying in error for lack of an eviCore prior authorization when retroactive changes have been m...
    ... icy 1K-7 for the list of codes that require prior authorization for high tech imaging.   * In...