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MOLINA HEALTHCARE MEDICARE PRESERVICE REVIEW GUIDE EFFECTIVE: 7/1/21REFER TO MOLINA PROVIDER WEBSITE OR PORTAL FOR SPECIFIC CODES THAT REQUIRE AUTHORIZATION ONLY COVERED SERVICES ARE ELIGIBLE FOR
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How to fill out pre-service review guide

01
Start by reviewing the pre-service review guide provided by your organization or healthcare facility.
02
Familiarize yourself with the purpose of the pre-service review and the specific guidelines for filling it out.
03
Gather all necessary information and documentation that may be required for the review process.
04
Begin filling out the pre-service review guide by following the specified sections and prompts.
05
Provide accurate and detailed information about the patient, including their medical history, current condition, and any relevant diagnoses.
06
Include all necessary supporting documentation, such as lab results, medical reports, and imaging studies.
07
Make sure to answer any specific questions or requirements mentioned in the pre-service review guide.
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Submit the pre-service review guide to the designated authority or department for further processing.
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Follow up with the appropriate personnel or department to ensure that the pre-service review is successfully completed.

Who needs pre-service review guide?

01
Pre-service review guides are typically needed by healthcare professionals, such as physicians, nurses, and medical administrators, who are involved in the process of authorizing medical services or procedures.
02
Insurance companies or third-party payers may also require pre-service review guides from healthcare providers to assess the medical necessity and appropriateness of certain treatments or services.
03
Patients who are seeking approval for specific medical treatments or procedures may also be required to fill out or provide information for pre-service review guides.
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Pre-service review guide is a set of guidelines and requirements that need to be followed before a service or product is approved for use.
Any individual or organization that is seeking approval for a service or product is required to file a pre-service review guide.
To fill out a pre-service review guide, one must provide detailed information about the service or product, including its purpose, benefits, potential risks, and any relevant data.
The purpose of pre-service review guide is to ensure that services or products meet certain standards of quality, safety, and effectiveness before being approved for use.
The information that must be reported on a pre-service review guide includes details about the service or product, its intended use, potential risks, and any supporting data or research.
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