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CMS Releases Article on Prior Authorization

CMS has issued an article concerning prior authorization for repetitive non-emergency ambulance transports. The article provides a good background of the program, medical necessity, the PCS form, documentation requirements and the top reasons prior authorization requests have been “non-affirmed”. We suggest you read the article—whether you are in one of the three states (NJ, PA, SC) currently under the prior authorization program or the remaining states which will be under prior authorization for repetitive patients either January 1, 2016 or January 1, 2017. Read the full article here

Centers for Medicare and Medicaid Services (CMS), New Jersey, Pennsylvania, prior authorization, South Carolina

David Werfel

David Werfel is a partner at Werfel & Werfel, PLLC.

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