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Use the links on the left to access checklists to ensure you have met medical documentation requirements based on specific...

Due to a claim issue identified, exempt hospital OPDs will be receiving a revised exemption ADR letter with a revised letter fax...

Top denial / partial denial reasons and high-level results are listed below from each round of annual wellness visits (AWV)...

Service-specific reviews

First Coast is tasked with preventing inappropriate Medicare payments. One of the ways this is conducted...

View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and...

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their...

The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA)...

View targeted probe and educate (TPE) round results for 15271-15278.

View targeted probe and educate (TPE) for surgical services - cataract extraction (CPT 66982-66984).

View targeted probe and educate (TPE) round one results for rehabilitation services.