Learn how to determine when Medicare is the primary or secondary payer
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers...
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Inpatient hospital entitlement changes
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will...
Reporting manifestation diagnosis codes
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article...
Recommendations regarding the development of a model compliance plan for clinical laboratories
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and...
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...
New global surgery calculator
Counting 10- or 90-day global periods manually? Our new global surgery calculator quickly determines the global period end date...
First Coast bank transition: Deposit paper checks timely
Effective April 27, 2026, First Coast will be changing banks from Citibank to JP Morgan Chase.
Reject reason code for Part A claims returned to a provider more than three times
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more...
Skilled nursing facility (SNF) interrupted stay and lower level of care change (LLCC) billing
Read this article to learn more about billing a skilled nursing facility (SNF) interrupted stay and lower level of care.