Change request 10901 updates the "Medicare Program Integrity Manual" with detailed changes to the local coverage determination (LCD) process, which will help to increase transparency, clarity, consistency, reduce provider burden, and enhance public relations while retaining the ability to be responsive to local clinical and coverage policy concerns. [MM10901]
So coding changes can be made more efficiently without requiring reconsideration of an LCD, CPT and ICD-10 codes are being relocated from LCDs to associated billing and coding articles or policy articles. [CR10901]
Based on Centers for Medicare & Medicaid Services (CMS) directive, the Part A and Part B LCD and the related billing and coding article are being retired.
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) and related billing and coding article for allergy testing was revised.
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) and related billing and coding article for CYP2C19, CYP2D6, CYP2C9, and VKORC1 genetic testing was revised.
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) and related billing and coding article for magnetic resonance angiography (MRA) were revised.
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) and related billing and coding article for polysomnography and sleep testing were revised.
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) for psychiatric diagnostic evaluation and psychotherapy was revised.
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) for psychological and neuropsychological tests was revised.
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) and the related billing and coding article for pulmonary diagnostic services were revised.
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the billing and coding article for treatment of varicose veins of the lower extremity was revised.
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering diabetic shoes for your patients.
First Coast has implemented a new process to reduce provider burden and process claims more efficiently. If you submit claims for skin substitutes or radiopharmaceutical codes, learn how this new process will benefit you.
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering spinal orthoses for your Medicare patients.
Revision to Part A and Part B LCD, and new billing and coding article for percutaneous vertebral augmentation (PVA) for vertebral compression fracture (VCF).
The meeting will be hosted by seven Medicare administrative contractors (MACs) and there will be a panel of experts discussing the facet joint and medial nerve branch procedures.
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering surgical dressings for your Medicare patients.
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering nebulizers and inhalation medication for your Medicare patients.
Please review these quick tips from the durable medical equipment Medicare administrative contractor (DME MAC) about ordering oxygen and oxygen equipment for your Medicare patients.
The Centers for Medicare & Medicaid Services (CMS) requires that any Medicare service provided or ordered must be authenticated by the author -- the one who provided or ordered that service. This article outlines acceptable forms of authentication.
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering lower limb orthoses (LLO) for your Medicare patients.
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. (First Coast) must be received.
When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or signature log within the following 20 calendar days. [CR 6698]
A revised Provider Compliance Tips for Polysomnography (Sleep Studies) fact sheet is available. Learn about coverage requirements, documentation, and how to prevent claim denials.
Payment will be considered for unused and discarded portions of a single-use drug/biological product. The JW modifier is not permitted when the actual dose of the drug or biological administered is less than the billing unit.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
