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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 Aug 16 , 2023
Prior Authorization Lookup Tool
Determine which HCPCS codes require a Prior Authorization
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