This library contains educational documents for North Carolina Provider Agencies.
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This is a 66-page/7.3 MB PDF file. Last updated 07/25/2022.
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The purpose of this document is to help guide Providers partners with identified additional revenue codes that are allowable for any given procedure code.
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Procedure codes are categorized as always, sometimes, or never requiring a prior authorization for a service to be performed. This document outlines the criteria for prior authorizations and which codes may require them.
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This is a thirteen-page/367 KB PDF file.
Home Health services must include a diagnosis code selection prior to billing.
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