skip to content
Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:

By clicking Continue below you agree to the following:

LICENSE FOR USE OF "PHYSICIAN'S CURRENT PROCEDURAL TERMINOLOGY" (CPT), FOURTH EDITION End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2022 American Medical Association (AMA).

All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the AMA.
You, your employees, and agents are authorized to use CPT only as contained in the following authorized materials:
Local Coverage Determinations (LCDs),
Local Medical Review Policies (LMRPs),
Bulletins/Newsletters,
Program Memoranda and Billing Instructions,
Coverage and Coding Policies,
Program Integrity Bulletins and Information,
Educational/Training Materials,
Special mailings,
Fee Schedules;

internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS), formerly known as Health Care Financing Administration (HCFA). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA website. Applicable FARS/DFARS restrictions apply to government use.

AMA Disclaimer of Warranties and Liabilities CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this agreement.

CMS Disclaimer: The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

AMA - U.S. Government Rights

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a )June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

ADA CURRENT DENTAL TERMINOLOGY, (CDT)
End User/Point and Click Agreement: These materials contain Current Dental Terminology (CDTTM), Copyright © 2016 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING ON THE BUTTON LABELED "ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.

IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK ON THE BUTTON LABELED "DECLINE" AND EXIT FROM THIS COMPUTER SCREEN.

IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.

Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the ADA website.

Applicable Federal Acquisition Regulation Clauses (FARS)\Department of restrictions apply to Government Use.

ADA DISCLAIMER OF WARRANTIES AND LIABILITIES: CDT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third party beneficiary to this Agreement.

CMS DISCLAIMER: The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

End Disclaimer


This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. For the most comprehensive experience, we encourage you to visit Medicare.gov or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
Join eNews       En Español
Text Size:
YouTube LinkedIn Email Print
Send a link to this page
[Multiple email addresses must be separated by a semicolon.]
Last Modified: 11/11/2024 Location: FL, PR, USVI Business: Part A, Part B

Learning On Demand – Specialty services training

Join our live training events

Want to participate in one of our live educational events?

View our YouTube channel

..YouTube logo

Title
Line of Business
Description
Format
Duration
Service
CEUs
Part B
This webinar will provide valuable information on billing, coverage, purposeful documentation guidelines and improper payment errors for Chiropractic services. We'll examine improper payment errors identified by the Comprehensive Error Rate Testing (CERT) Program and the importance of responding to documentation requests. We will conclude by sharing valuable resources and references.
Webinar
Self-paced
Chiropractic
0
Part A
This course will provide an overview of Comprehensive Outpatient Rehabilitation Facility (CORF) benefits, coverage requirements and billing guidelines. During the course we will review basic guidelines as well as focus on Comprehensive Error Rate Testing (CERT) and medical review errors, and how to avoid those errors. Take advantage of this opportunity to learn more about CORF services and accurate billing practices.
Webinar
Self-paced
CORF
0
Part B
Stay Connected with patient care by attending the Medicare Pain Management series. During this webinar, we will review Medicare guidelines for facet joint intervention, including coverage guidance, covered indications, limitations, provider qualifications, billing and coding, and purposeful documentation requirements. We'll also highlight how prior authorization is currently in effect for these services when provided in a hospital outpatient department setting.
Webinar
Self-paced
Facet Joint Interventions
0
Part B
Stay connected with patient care by attending the Medicare Pain Management series. This event will provide an overview of anesthesia coverage, billing and purposeful documentation guidelines. We will review various billing scenarios, anesthesia modifiers, medical direction of concurrent case requirements, calculation of time units, Monitored Anesthesia Care (MAC) and how to avoid improper payment and documentation errors.
Webinar
Self-paced
Anesthesia
0
Part B
Stay connected with patient care by attending the Medicare pain Management series. This session will provide an overview of trigger point injections and epidural sterioid injections for pain management intervention. We will review coverage guidance, covered indications, limitations, provider qualifications, utilization guidelines and purposeful documentation requirements for these injections. We will also provide information concerning medical review findings and provide guidance and best practice to prevent them.
Webinar
Self-paced
Trigger Point and Epidural Injections
0
Part B
This course will focus on Behavioral Health Integration (BHI) service guidelines and billing regulations. We'll examine BHI codes and explore the role of care team members who provide these services, as well as valuable resources and references for your patients.
Webinar
Self-paced
BHI
0
Part A and Part B
The next course in our Skilled Nursing Facility (SNF) series is designed to educate Medicare providers on SNF consolidated billing (CB). We will discuss the inclusions and exclusions with an explanation of the major categories. We will review the annual coding files and highlight tips for successful billing. We will conclude with SNF CB scenarios and examine the resources available.
Webinar
Self-paced
SNF
0
Part A
The next course in our Skilled Nursing Facility (SNF) series will review the SNF 5-Claim Probe and Educate initiative and how it relates to the Patient Driven Payment Model (PDPM). In this session, we will explore SNF payment resources and self-service tools available.
Webinar
Self-paced
SNF
0
Part A and Part B
This webinar is designed for Part A providers and Part B suppliers who provide Ground Ambulance Transportation services to Medicare beneficiaries. We will review the ambulance coverage requirements, trip record documentation guidelines and Physician’s Certification Statement (PCS) requirements for ambulance transport services to Medicare beneficiaries.
Webinar
Self-paced
Ambulance
0
Part B
This course will provide an overview of psychiatric services including diagnostic evaluations, psychological and neuropsychological testing, psychotherapy, family and group therapy and behavioral health integration services. We'll identify who can provide services, explore medical necessity and documentation requirements, as well as review recent audit findings.
Webinar
Self-paced
Psychiatric
0
Part B
Stay connected with your Medicare patient's health and wellness by participating in our Care Management workshop series. Care planning and management becomes critical as more Medicare patients develop multiple chronic conditions. Chronic care management (CCM) and transitional care management (TCM) serve as critical components to bettering patient health outcomes by ensuring access to care, care coordination and care continuity. During this webinar, we will review Medicare coverage and billing requirements, identify types of providers who can render these services, address common improper payment errors, and conclude with documentation guidance.
Webinar
Self-paced
CCM and TCM
0
Part B
Stay connected with your Medicare patient's health and wellness by participating in our Care Management workshop series. Medicare covers a separate visit to more thoroughly assess your patient's cognitive function and develop a care plan, if a Medicare patient shows signs of cognitive impairment during a routine visit. This evaluation may be helpful to diagnose a person with dementia, such as Alzheimer’s disease, and to identify treatable causes or co-occurring conditions such as depression or anxiety. During this webinar, we will define cognitive assessment services and identify who can render the service. We will also review billing, coverage and documentation requirements.
Webinar
Self-paced
Cognitive Assessment
0
Part B
Stay connected with your Medicare patient's health and wellness by participating in our Care Management workshop series. Principal care management (PCM) was introduced to provide comprehensive care management for beneficiaries with a single, high-risk condition or with multiple chronic conditions but focused on a single high-risk condition. Advance care planning is for patients to discuss their health care wishes if they become unable to make their own decisions. During this webinar, we will define principal care management and advance care planning, and identify who can render these services. We will also review billing, coverage and documentation requirements.
Webinar
Self-paced
PCM and ACP
0
Part A and Part B
This webinar will provide an overview of End Stage Renal Disease (ESRD) services including billing guidance Part A and B providers. We will highlight documentation requirements and provide guidance to prevent common billing errors identified by the Comprehensive Error Rate Testing (CERT) program, Recovery Auditor (RA), and Medical Review. We will also review helpful self-service tools and resources specifically for ESRD facilities and providers.
Webinar
Self-paced
ESRD
0
Part A
Infusion, hydration, and injection services follow coding guidelines specific to orders placed and often time-based CPT codes. This presentation will provide an overview of infusion and hydration therapy services including basic billing guidelines, general coding, review of coding hierarchy, and time requirements. We will also review documentation requirements to assist with correct code assignment and potential audits.
Webinar
Self-paced
Infusion and Hydration Services
0
Part A
This webinar is for Rural Health Clinic (RHC) providers. During this overview, we will review RHCs billing scenarios, address top billing errors and identify preventative resolutions.
Webinar
Self-paced
RHC
0
Part A
This webinar is for Rural Health Clinic (RHC) providers. During this overview, we will outline RHC billing requirements for Transitional Care Management (TCM) and Chronic Care Management (CCM), review Telemedicine services after the Public Health Emergency (PHE) and conduct a review of Credit Balance Reporting.
Webinar
Self-paced
RHC
0
Part A
Webinar
Self-paced
RHC
0
Part A
This course is for Federally Qualified Health Center (FQHC) providers. During this overview, we will review FQHCs billing scenarios, address top billing errors and identify preventative resolutions.
Webinar
Self-paced
FQHC
0
Part A and Part B
The United States is in the midst of a national opioid crisis with substantial health, economic, and societal costs. Opioid and substance use disorders (OUDs/SUDs) continue to be a vital issue in our society. Through this course, we'll provide valuable information and guidance regarding OUD and SUD treatment services, Preventive screening for alcohol misuse, Screening, brief intervention, and referral to treatment (SBIRT) services and opioid treatment programs (OTPs).
Webinar
Self-paced
OUD
0
Part A
This course is for Federally Qualified Health Center (FQHC) providers. During this overview, we will outline FQHCs billing requirements for Transitional Care Management (TCM) and Chronic Care Management (CCM), review Telemedicine services after the Public Health Emergency (PHE) and conduct a review of Credit Balance Reporting.
Webinar
Self-paced
FQHC
0
Part B
This course will review coding and billing guidelines, coverage limitations, and purposeful documentation requirements regarding debridement of nail(s) services. We will examine common errors and billing concerns identified by the Comprehensive Error Rate Testing (CERT) program and recent medical review activities and outline resources and best practices to avoid these findings.
Webinar
Self-paced
Podiatry
0
Part A
This course is for Federally Qualified Health Center (FQHC) providers. During this overview, we will outline FQHCs enrollment, Perspective Payment System (PPS) reimbursement methods, billing requirements (including Medicare Advantage Wrap around) and new updates.
Webinar
Self-paced
FQHC
0
Part A
This webinar is for Critical Access Hospital (CAH) facilities and providers. During this overview, we will outline CAH inpatient and outpatient billing for Method I and Method II CAHs, including specialty items/services (e.g., ambulance, observation and laboratory), review new updates and top errors.
Webinar
Self-paced
Critical Access Hospitals
0
Part A
This course will apply to critical access hospitals (CAHs) and small rural hospitals in the process of converting or plan to convert in the future to a rural emergency hospital (REH). We will review requirements for enrolling, billing guidance for outpatient services and reimbursement associated with REH providers.
Webinar
Self-paced
Rural Emergency Hospitals
0
Part A and Part B
This event will review clarified Medicare coverage provisions for dental services. We will outline the provider enrollment process, claim submission guidelines, coverage and documentation requirements and various resources. Dentists and surgeons rendering dental services to Medicare patients and referring providers for dental services are encouraged to attend.
Webinar
Self-paced
Dental Services
0
Part B
This course will explore three important Medicare-covered behavioral health services that may improve patient outcomes. We’ll outline billing and coverage for Behavioral Health Integration (BHI) Services, Psychotherapy for Crisis, and Opioid Use Disorder (SUD) Screening and Treatment and conclude by sharing valuable resources and references.
Webinar
Self-paced
Behavioral Health
0
Part A
Learn about the inpatient rehabilitation facility (IRF) documentation requirements.
Webinar
Self-paced
Inpatient rehabilitation facility
0
Part B
Learning about coordinating Part B and consolidated billing for patients in a covered skilled nursing facility (SNF stay).
Webinar
Self-paced
SNF
0
Part A
Learn about documenting the skilled nursing facility (SNF) medical record accurately and completely.
Webinar
Self-paced
SNF
0
Part A and Part B
The Medicare program started covering opioid use disorder treatment services in January 2020. Watch to learn the requirements for enrolling as an OTP.
Video
..video logo
00:07:31
Medicare incentives / new programs
0
Part A and Part B
The Medicare program started covering opioid use disorder treatment services in January 2020. Watch to learn the requirements for billing OTP services.
Video
..video logo
00:06:41
Medicare incentives / new programs
0
Part B
Are you experiencing denials of ambulance services from Medicare? If so, this video will assist you when billing and documenting ambulance services
Video
..video logo
00:9:17
Ambulance
0
Part A and Part B
Are you experiencing denials of ambulance services from Medicare? If so, this video will assist you when billing and documenting ambulance services.
Video
..video logo
00:06:45
Ambulance
0
Part B
With the national focus on treating opioid use disorders, urine drug testing claims are common audit topics in Medicare claim review programs. This video helps you understand proper coverage for your patient services and how you can support the medical necessity of these services with your documentation.
Video
..video logo
00:05:51
Laboratory services
0
Part B
If you provide psychiatric and psychotherapy services to Medicare beneficiaries, are you familiar with the requirements for documenting the medical records? In this video, you'll learn the guidelines available to help you in the process.
Video
..video logo
00:06:06
Mental health
0
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.