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Local Education Agency Provider ManualManual Updated 04/01/19CHANGE CONTROL RECORD DateSectionPage(s)040119135Updated Prepayment Reviews040119Appendix 156Updated edit codes 906 and 907030119Appendix
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Who needs updated prepayment reviews?
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Healthcare providers and organizations that receive prepayment reimbursements
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What is updated prepayment reviews?
Updated prepayment reviews are a process where prepayment information and documentation are reviewed and updated.
Who is required to file updated prepayment reviews?
Providers and suppliers who receive prepayment reviews are required to file updated prepayment reviews.
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Updated prepayment reviews should be filled out accurately and completely, including all required information and documentation.
What is the purpose of updated prepayment reviews?
The purpose of updated prepayment reviews is to ensure that providers and suppliers are compliant with prepayment review requirements and guidelines.
What information must be reported on updated prepayment reviews?
Updated prepayment reviews must include information such as patient demographics, services provided, medical necessity, and documentation supporting the services.
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