Prior Authorization (PA) for Certain Hospital Outpatient Department (OPD) Services – What You Need to Know for Your Railroad Medicare Patients (OnDemand Presentation)

Published 06/17/2021

Does the Prior Authorization (PA) for Certain Hospital Outpatient Department (OPD) services program apply to people with Railroad Medicare? Yes, it does. Register now for this recorded presentation that explains the who, where, how, when and what of submitting an OPD PA request for a Railroad Medicare patient. You’ll also learn how OPD PA impacts Part B claims for the associated services you bill to the Railroad Retirement Board Medicare Administrative Contractor (RRB SMAC). This presentation is intended to familiarize you with the OPD PA program with emphasis on the CMS and MAC resources available to you. This presentation is not intended to be an exhaustive review of the OPD PA process. Register today


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