MAC/FI Links Below for the Manual Medical Review process.
Functional Pathways’ training will begin the week of September 10th.
First Coast: First Coast Pre-approval process
Novitas: Novitas-Solutions Manual Medical Review of Therapy Services **”Novitas Solutions’ dedicated information center for the transition of Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas workloads into MAC JH. NOTE: Providers physically located in states outside the JH area, but processed currently by Pinnacle Business Solutions, Cahaba Legacy Part B, or TrailBlazer will be transitioned to Novitas as part of the JH implementation”.
Noridian: Noridian Therapy Threshold Manual Review
NGS: www.ngsmedicare.com NGS Instructions below:
- Scroll down left side;
- click on ‘medical review’;
- click on ‘Therapy Limitation and Manual Medical Review Process for Therapy Threshold’