Long-term care hospital (LTCH) interim billing guidelines
Read these interim billing guidelines for long-term care hospitals.
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Multiple procedure payment reduction on the professional component and technical component of certain diagnostic imaging procedures
The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the...
Medicare & Veteran Affairs: Adjustments for duplicate claims
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate...
End-stage renal disease (ESRD) billing requirements
Read the following article for the most common billing requirements for end-stage renal disease related services.
Long term care facility prospective payment system standard versus site neutral payment
For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH)...
Use of JW and JZ Modifiers when Billing for Separately Payable Incident-to Supplies
Effective January 1, 2026, the application of the JW and JZ modifiers has changed for certain skin substitutes per the calendar...
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
View the current listing of ASC HCPCS codes no longer requiring a paper invoice.
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims...
Avoiding MSP claim rejects
Providers billing Medicare must determine if Medicare is the primary payer or not. This article has tips on checking MSP...
Medicare coverage of driveline kits for ventricular assist devices (VADs)
Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding coverage...