Articles

Prior authorization (PA) for the ASC prior authorization demonstration is voluntary. However, if a provider elects to bypass PA...

The PAR fax/mail coversheet for ASCs is now available for Florida ASCs participating in the ASC PA demonstration. ASCs in...

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) for surgical services - cataract extraction (CPT 66982-66984).

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

View targeted probe and educate (TPE) round one results for surgical services: endovascular revascularization (open or...

Find information and resources that will help you properly respond to additional documentation requests within required...

View this article to view the results for the SNF 5-claim probe and educate (P&E).

Review the top denial / partial denial reasons and high-level results from each round of DRG 470 TPE.