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Pre-Claim Review - JA DME

Pre-Claim Review

Advance Determination of Medicare Coverage (ADMC) - View information about voluntary program that allows suppliers and beneficiaries to request prior approval of "eligible" items before item delivery

Required Prior Authorization Programs - CMS has implemented Prior Authorization (PA) as a condition of payment for specific HCPCS codes.

Pre-Claim Hotline - The Pre-Claim hotline is a service for suppliers regarding Prior Authorization and Advance Determination of Medicare Coverage (ADMC) programs.

 

Last Updated Wed, 16 Aug 2023 16:18:14 +0000

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Prior Authorization Lookup Tool

Determine which HCPCS codes require a Prior Authorization

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