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Preauthorization of Radiology for Blue Cross and Blue Shield Medicare Program Provider Orientation 2015 eviCore healthcare. All Rights Reserved. This presentation contains CONFIDENTIAL and PROPRIETARY
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01
Gather all necessary information such as patient demographics, diagnosis codes, and treatment plans.
02
Log in to the evicore portal using your credentials.
03
Navigate to the post-acute care section and select the appropriate form for the type of care being requested.
04
Fill out the form with all required information including patient details, referring provider information, and the reason for the request.
05
Attach any supporting documentation such as medical records or test results.
06
Review the form for accuracy and completeness before submitting it for review.

Who needs evicore post acute care?

01
Patients who require post-acute care services after a hospital stay or medical procedure.
02
Healthcare providers who are looking to request authorization for post-acute care services for their patients.
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Evicore post acute care refers to a specialized management program designed to coordinate and ensure appropriate care transitions for patients moving from acute care settings to post-acute facilities, such as rehabilitation centers or long-term care.
Healthcare providers and facilities that are involved in the care transition process, including hospitals and post-acute care facilities, are typically required to file evicore post acute care requests.
To fill out evicore post acute care, providers must complete a designated form that includes patient information, the reason for the care transition, medical necessity details, and any relevant clinical information.
The purpose of evicore post acute care is to facilitate seamless patient transitions, enhance care coordination, and ensure that patients receive the most appropriate and cost-effective post-acute services.
Information that must be reported includes patient demographics, clinical history, discharge diagnoses, planned services, and any specifics regarding the medical necessity for post-acute care.
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