Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The code list for drugs has been updated.
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Medicare Diabetes Prevention Program (MDPP) changes for calendar year 2026
Read this article for important changes and revisions to the MDPP program for calendar year 2026.
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...
New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center...
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...
Radioactive diagnostic agents for positron emission tomography of prostate-specific membrane antigen positive lesions in men with prostate cancer
Read this article to learn more about radioactive diagnostic agents for positron emission tomography of prostate-specific...
Physician supervision of diagnostic tests
The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act...
Long-term care hospital (LTCH) interim billing guidelines
Read these interim billing guidelines for long-term care hospitals.
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...
End-stage renal disease (ESRD) billing requirements
Read the following article for the most common billing requirements for end-stage renal disease related services.