Healthsmart Prior Authorization Request Form

Instructions and help about printable prior authorization form blank

Hello, Mary Sue here with WPS Government Health Administrators. And today I'd like to talk about the repetitive, scheduled non-emergent, ambulance transport, prior authorization request form.   The repetitive, scheduled non-emergent ambulance transports prior authorization model, which we  will now refer to as RSNAT, was established as a  process through which a request for a provisional affirmation of coverage, is submitted for review before the service is furnished to the beneficiary   and before the claim is submitted for payment.  Prior authorization helps to make sure that applicable coverage, payment, and coding rules are  met before the services are actually rendered.    This model applies to independent ambulance suppliers, that are not institutionally based,   and that are providing Part B Medicare covered ambulance  services that are billed on a CMS 1500 form, or its electronic equivalent. As we go to the wpsgha.com website, when you get to our h