Prior Authorization Requests Cannot Be Submitted Retroactively

The Prior Authorization Requests (PAR) program is a condition of claim payment. HCPCS codes that were selected by CMS for prior authorization are frequently subject to unnecessary utilization based on prior payment experience. Codes requiring PAR that are submitted for payment without a PAR decision and assigned a Unique Tracking Number (UTN) will be denied.

            Last Updated Thu, 15 Sep 2022 13:10:24 +0000