Split or shared E/M guidelines: Medicare Claims Processing Manual updates
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
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Update history: LCD and article updates
View the most recent updates for our LCDs and articles. The comment period for a proposed LCD is currently open and will close...
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the...
CERT Task Force: Overview presentation
The Comprehensive Error Rate Testing (CERT) A/B MAC Outreach & Education Task Force, a collaboration of all Part A and Part B...
Revision to social determinants of health risk assessment (HCPCS code G0136)
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment...
Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
Collaborative patient care is a provider partnership
Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services...
Complying with medical record documentation requirements
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and...
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...
No Medicare policies identified
In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary...