Total knee arthroplasty
First Coast has identified total knee arthroplasty (TKA), also known as knee replacement services, CPT 27445, 27447, 27486 and...
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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.
Immunization roster billing
Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give...
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...