Prior Authorization Readiness: Preparing for Medicare’s New Outpatient Prior Authorization Requirement for Implanted Spinal Neurostimulators (SCS) and Spinal Fusion
This webinar addresses the CMS requirements for July 1, 2021 and includes a broad overview of the program and NCD/LCD guidelines by MAC. We will cover what is prior authorization (PA) and where these guidelines will apply (HOPD only, no ASCs, no CAHs). This webinar also discusses the PA submission process, how to bill PA on the claim and what to do if your PA was denied. Lastly, we cover key MAC-specific takeaways and requirements for maintaining exemption.