47 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. Bypass for PA Edit When Medicare is Primary Payor

    • Aug 11, 2016
    • Category: Secondary Claims

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

  3. July 2016 Medicaid Bulletin Available

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

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

  4. 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 ...

  5. 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,...

  6. 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...

  7. April 2016 Medicaid Bulletin Available

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

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

  8. 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...

  9. 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...

  10. Training on PA for Chiropractic and Podiatry Services for MPW

    • Dec 9, 2015
    • Category: 2015 Training Announcements

    ... in accepting Prior Approval (PA) requests for the authorization of chiropractic and podiatry service...

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