New prior authorization code lookup tool now available
Use the new prior authorization code lookup tool to verify if the code is under a prior authorization program sponsored by CMS.
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Proposed 2026 Medicare allowances for portable x-ray transportation codes
Reminder: The preliminary 2026 portable x-ray transportation payment rates have been posted for notice. Comments will be...
Acute kidney injury
Read this article, which provides billing guidance for acute kidney injury.
Activation of systematic validation edits for OPPS providers with multiple service locations
This article is for the activation of systemic edits for outpatient prospective payment system (OPPS) providers that have...
Breakdown of common Minimum Data Set (MDS) errors: Sections D - E - GG
Sections D - E - GG
Section D: Mood
D0150 Resident Mood Interview (PHQ-2 to 9©)
- Supportive documentation within the record; nurse...
CERT related educational resources
First Coast provides a variety of CERT-related educational resources to assist providers with navigating CERT program...
Breakdown of common Minimum Data Set (MDS) errors: Sections M - O & Z
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes...
Breakdown of common Minimum Data Set (MDS) errors: Section H - K
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes...
Breakdown of common Minimum Data Set (MDS) errors: Section A - C
The MDS is a tool used for implementing standardized assessment and for facilitating care management in skilled nursing homes...
Physical therapy plan of care requirements
When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the...