An LCD has been posted for notice and updates have been made to an LCD and billing and coding articles to reflect the annual CPT/HCPCS updates effective for dates of service on and after January 1.
Three future effective local coverage determinations and their related articles have been posted along with the applicable response to comments articles. One article has been retired.
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.
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.
View protocol regarding submission of information relative to new drugs, new or revised indications, or marketing information of forthcoming drugs or devices. You may also access this information on the LCDs Medical Affairs page under the references and resources section.
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering spinal orthoses for your Medicare patients.
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 certain contractor-priced codes, learn how this new process will benefit you.
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]
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]
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]
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.
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.
