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Medical review

Modified: 7/14/2017
This article provides links to medical review topics being worked currently.
Modified: 7/3/2017
Follow up action due to high error rates for MS DRG 885 inpatient stays of 3+ days. [CMS internet-only manual (IOM)]
Modified: 6/29/2017
First Coast will implement a prepayment threshold audit for CPT code 99223 claims. [CMS internet-only manual (IOM)]
Modified: 5/12/2017
Prepayment review of CPT 99285
Modified: 5/1/2017
First Coast Service Options (First Coast), frequently requires a clinical review of records to determine the medical necessity of services.
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.