Submit prior authorization requests electronically
Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you...
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Implantation of spinal neurostimulator
CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.
Prior authorization program initiatives
Prior authorization is a process through which coverage is determined prior to providing or billing the service. This process...
Targeted probe and educate round results: Annual wellness visits (AWV)
Top denial / partial denial reasons and high-level results are listed below from each round of annual wellness visits (AWV)...
Targeted probe and educate (TPE) round results: Evaluation and management services – emergency department visits
Review the top denial / partial denial reasons and high-level results of evaluation and management services – emergency...
Checklist: Aftercare, musculoskeletal system and connective tissue
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...
Targeted probe and educate (TPE) round results: Major hip and knee replacement (DRG 470)
Review the top denial / partial denial reasons and high-level results from each round of DRG 470 TPE.
Checklist: Chiropractic services documentation
This checklist is an aid to assist providers with responding to medical record documentation requests.
Targeted probe and educate (TPE) round results: Surgical services - Mohs surgery (CPT 17311-17315)
View targeted probe and educate (TPE) round results: Surgical services - Mohs surgery (CPT 17311-17315).
Targeted probe and educate (TPE) round results: Surgical services - nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 & HCPC G0127)
View targeted probe and educate (TPE) round results for nail cutting / pairing and debridement (CPT 11055-11057, 11719-11721 &...