The Physician edit check for compliance tool will assist you in preventing claim denials. It does so by checking whether multiple CPT, HCPCS and ICD codes can be bundled/submitted together as per current Medicare edits, rules and regulations. ...
12 In contrast, fee-for-service Medicare has used minimal prior authorization, generally limited to demonstration projects for select nonphysician services (eg, durable medical equipment),13 although expansions are underway for select outpatient services.14 The absence of prior authorization in fee-for...