Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease
Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease...
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Leqembi for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease
Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and...
Medicare Diabetes Prevention Program (MDPP) changes for calendar year 2026
Read this article for important changes and revisions to the MDPP program for calendar year 2026.
Pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent human immunodeficiency virus (HIV) infection
Read this article for information on billing PrEP for HIV drugs.
Billing the correct Medicare secondary payer insurance type code
Do you want to know how to avoid MSP claims payment delays and inappropriate denials?
Billing for vein ablation services? Access our LCD guidelines
Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the...
Billing instructions for implanted prosthetic devices with HCPCS code C9899: Reason code 32354
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.
Medicare & Veteran Affairs: Adjustments for duplicate claims
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate...
Behavioral health services
Medicare covers behavioral, mental and psychiatric health services that may improve outcomes for Medicare patients. For more...
Potential assignment violations by clinical laboratories
Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment...