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November 2013

Pulmonary rehabilitation services will no longer need Case Management review

The Case Management unit will no longer manually process initial or extension requests for pulmonary rehabilitation services, effective with dates of service after Jan. 1, 2014.

Providers should bill electronically for pulmonary rehabilitation services as a facility claim, using revenue code 0948 (pulmonary rehab).

In addition, pre-authorized, individual treatment plans or agreement-to-pay letters won’t be needed to make a payment. 

Please contact your provider consultant if you have questions about these changes.

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