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Search results with tag "Expedited review"
Prior Authorization (General) 1. - CMS
www.cms.govdecisions, and an expedited process is available in cases where delays may jeopardize ... You can request an expedited review timeframe of up to two (2) business days if the ... codes other than 64612 or 64615 will not require prior authorization under this program. Prior Authorization Request Process-Medical Review .
Outpatient Department Guide - Centers for Medicare ...
www.cms.gov(MAC) jurisdiction. The MAC will review the information submitted and issue the decision (affirmative or non-affirmative) to the provider. The provider may submit a request for an expedited review of a PAR if delays in receipt of a PA decision could jeopardize the life or health of the beneficiary.