Physician ordering laboratory tests: Your vital role in submitting documentation
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
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Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior...
Total knee arthroplasty
First Coast has identified total knee arthroplasty (TKA), also known as knee replacement services, CPT 27445, 27447, 27486 and...
End-stage renal disease (ESRD) billing requirements
Read the following article for the most common billing requirements for end-stage renal disease related services.
COVID-19 vaccine and monoclonal antibody billing for Part B providers
This article will assist Medicare Part B providers with proper billing relating to COVID-19 vaccine and monoclonal antibody...
COVID-19 vaccine and monoclonal antibody billing for Part A providers
This article will assist Medicare Part A providers with proper billing relating to COVID-19 vaccine and monoclonal antibody...
Part A outpatient date of service reporting and split billing
This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.
Limitation on recoupment (935) process
This information outlines the process for the 935 recoupment.
How to use modifiers to indicate the status of an ABN
Learn which modifier to use when you expect Medicare will deny a claim that does not meet medical necessity criteria and whether...
Restricted codes for claim reopenings
List of codes that cannot be corrected using the reopening process in SPOT.