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Medical affairs news

Interactive LCD index

The LCD interactive index offers a fast, direct way for providers to view LCDs.
Modified: 5/23/2024
View the most recent updates for our LCDs and articles.
Modified: 5/20/2024
We created this article to educate on billing certain contractor-priced codes, including radiopharmaceuticals, billed with dates of service on and after January 1, 2023.
Modified: 5/20/2024
View this important information you must know if you bill for pharmacogenomics testing.
Important information you must know if you bill for pharmacogenomics testing.
Modified: 5/15/2024
Join First Coast's Contractor Advisory Committee (CAC) to provide your input during the development process of LCDs.
Modified: 5/15/2024
Review this article for information on billing psychotherapy services when performed with evaluation and management and prolonged services.
Modified: 5/15/2024
Please review this article from the durable medical equipment (DME) MAC about ordering durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) for your Medicare patients.
Modified: 5/14/2024
Please review this article from the durable medical equipment (DME) MACs about ordering oxygen for your Medicare patients.
Modified: 5/14/2024
Please review this article from the DME MACs about ordering PAP devices and related accessories for your Medicare patients.
Modified: 5/10/2024
Do you find it challenging to identify a Medicare coverage policy concerning a particular item or service? Not sure what to do if a Medicare coverage policy doesn’t exist? A new FastTrack to Medicare Coverage Policies tool is now available to help you find the answers to your Medicare coverage questions.
Modified: 4/25/2024
An open meeting will be held May 23 to discuss the topic of Skin Substitute Grafts/Cellular and Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers. Read more information regarding the meeting format schedule, and registration.
Modified: 4/25/2024
View this important information you must know if you bill for genetic testing for cardiovascular disease, effective January 30.
Modified: 4/20/2024
Read this article for helpful information to report the national drug code on claims.
Modified: 4/13/2024
Reminder that general anesthesia is considered not medically reasonable and necessary when performing epidural steroid injections and facet joint injections for pain management.
Modified: 4/10/2024
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: 4/10/2024
CMS annually updates the durable medical equipment prosthetics, orthotic, and supplies (DMEPOS) for DME MAC and Part B MAC jurisdictions list. Please be aware of this new update as it contains new and revised codes.
Modified: 4/7/2024
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: 4/2/2024
We created this article to educate on billing certain contractor-priced codes, including skin substitutes, radiopharmaceuticals, and more, billed with dates of service on and after January 1, 2024.
Modified: 4/2/2024
Modified: 3/29/2024
Flowcharts for new LCD and LCD reconsideration requests to provide step-by-step instructions of the processes.
Modified: 3/12/2024
Please review these quick tips from the durable medical equipment (DME) MAC about ordering oxygen and oxygen equipment for your Medicare patients.
Modified: 3/4/2024
Please review this article from the durable medical equipment (DME) MAC about ordering knee orthoses for your Medicare patients.
Modified: 3/3/2024
Visit our new Journey to LCD coverage page to find more information related to LCDs, including the LCD development process and how to become involved, as well as how local and national coverage guidelines relate to claims processing.
Modified: 3/1/2024
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options available for you to request a new LCD or an LCD reconsideration.
Modified: 2/26/2024
https://cgsmedicare.com/jc/education/video/vid_telehealth.html
View the video released by your DME MAC that provides information about the Medicare telehealth benefit.
Modified: 9/6/2023
View this important information you must know if you bill for molecular pathology and genetic testing. This article was updated on September 6, 2023.
Modified: 9/5/2023
First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about billing these services correctly.
Modified: 8/2/2023
View this important information you must know if you bill for pharmacogenomics testing.
First Coast identified several errors when providers bill for genetic testing. Read this article to learn more about billing these services correctly.
Modified: 7/11/2023
Previous instructions to bill Rebyota fecal microbiota, live-jslm with HCPCS G0455, expired effective June 30, 2023. Instead, providers shall bill HCPCS code J1440 on the same claim with HCPCS 0780T (fecal microbiota transplantation procedure).
Modified: 5/2/2022
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. (First Coast) must be received.
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.