June 14, 2023
2023 Mid-Year CPT/HCPCS Code Set Updates
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The Centers for Medicare & Medicaid Services (CMS) has created a new prior authorization process for five groups of hospital outpatient department services that begins on July 1, 2020. This new process requires that hospital outpatient departments seek prior approval from their Medicare Administrative Contractor (MAC) for services considered to be at high risk for medical necessity denial. Make sure that you understand the new requirements, the included services, the mechanism, and the timeframes for this new process. Join us for a complimentary 45-minute webinar to ensure that you are ready to implement this new process and avoid unnecessary denials.