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 Procedure and Imaging Prior Authorization Request Form 2024-2025

2024-2025 Form

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[Music] during this presentation we will be discussing what to expect during the exemption process the agenda for this presentation includes an overview of the exemption cycle different types of notifications and the additional documentation requests adr process and a new opt-out process as with all medicare services providers are subject to meeting medicare coverage coding and payment rules hospital outpatient department providers may qualify for exemption through annual assessment demonstrating at least 90 compliance with prior authorization request submissions during the standard pa review process the exemption cycle spans january 1st through december 31st each year to qualify for exemption a provider must achieve a provisional affirmation compliance rate of at least 90 percent with the submission of at least 10 pars provisional affirmations are preliminary findings that the documentation submitted meets medicare coverage coding and payment rules once a provider is exempt they are n

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