Articles

The following article provides a list of common terms used by the medical review department for prior authorization requests.

A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a...

CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...

A procedure can have other policies or guidelines besides an LCD or NCD. The CMS website has a wealth of information. Read this...

Medicare Administrative Contractors (MACs) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions...

In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary...

Do you find it challenging to identify a Medicare coverage policy concerning a particular item or service? Not sure what to do...

Read this article for helpful information to report the national drug code on claims.

First Coast identified several errors when providers bill for genetic testing. Read this article to learn more about billing...

First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about...