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Medical affairs news

LCD search tools

The LCD search tools offer a fast, direct way for providers to search for LCDs.
Modified: 9/13/2020
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]
Modified: 7/29/2020
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]
Modified: 9/14/2020
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering diabetic shoes for your patients.
Modified: 9/3/2020
Part A and Part B LCD and the related billing and coding article are being retired.
Modified: 8/27/2020
New Part A and Part B LCD and billing and coding article for implantable continuous glucose monitors (I-CGM).
Modified: 8/20/2020
Part B LCD and the related billing and coding article are being retired.
Modified: 8/14/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 8/13/2020
The “Coding Guidance” section of this billing and coding article was updated to include proper coding information in regards to skin replacement surgery application codes and non-graft wound dressings.
Modified: 8/13/2020
The billing and coding article was revised to remove the dual diagnosis requirement for ICD-10-CM diagnosis code R19.7.
Modified: 7/29/2020
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.
Modified: 7/23/2020
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.
Modified: 7/23/2020
Please review this article from the DME MACs about ordering external breast prostheses and supplies for your Medicare patients.
Modified: 7/23/2020
Please review this article from the DME MACs about ordering glucose monitors and supplies for your Medicare patients.
Modified: 7/21/2020
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering surgical dressings for your Medicare patients.
Modified: 7/21/2020
Please review this article from the DME MACs about ordering PAP devices and related accessories for your Medicare patients.
Modified: 7/15/2020
A revised Provider Compliance Tips for Polysomnography (Sleep Studies) fact sheet is available. Learn about coverage requirements, documentation, and how to prevent claim denials.
Modified: 7/14/2020
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering nebulizers and inhalation medication for your Medicare patients.
Modified: 7/6/2020
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering lower limb orthoses (LLO) for your Medicare patients.
Modified: 6/25/2020
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.
Modified: 6/24/2020
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering spinal orthoses for your Medicare patients.
Modified: 5/22/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 4/21/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 4/9/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 4/9/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 4/4/2020
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. (First Coast) must be received.
Modified: 4/1/2020
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]
Modified: 9/21/2019
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.