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 Prior Authorization Request Form Required for Met 2018

2018-2025 Form

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welcome to this DME OnDemand presentation for prior authorization orthosis the information given in this training is correct as of January 2024 the most current information related to this topic can be found on the nerian DME website at the link listed on this slide five Orthotics codes are on the required prior authorization list the required prior authorization list can be found on the CMS website this slide shows the three NE orthosis hick piix codes L 1832 L 1833 and l18 8 51 that have been added to the required prior authorization list this slide shows the two spinal orthosis hick piix codes l0648 and l0650 that have been added to the required prior authorization list the goal of prior authorization of Select Demi poost items is to reduce unnecessary utilization and questionable billing Medicare pays for demi poost items only if the beneficiaries medical record contains sufficient documentation that their medical condition supports the need for the type and quantity of items order

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