Due to a FISS error, First Coast has identified claims that must be adjusted because the claims did not process through local editing. This article explains the adjustment process and what provider actions are required.
CMS has updated coverage conditions for TAVR for treatment of symptomatic aortic valve stenosis with CED, effective June 21, 2019. When brought to our attention, First Coast will override medical policy edits to allow for processing and payment of these services. [CR 11660]
Due to the COVID-19 public health emergency, CMS added CPT codes 99441-99443 to the list of Part B covered telehealth services under waiver. When furnished to a beneficiary in a SNF, these claims denied in error due to consolidated billing and will be reprocessed.
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