CMS-1500 (02/12) data element requirements
This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form...
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First Coast’s E/M interactive worksheet updates: Verify your E/M code selection
Our E/M interactive worksheet has been upgraded to assist you with verifying proper code selection for office and “other” E/M...
Skilled nursing facilities (SNF) January 1 revalidation deadline indefinitely suspended
Read for information regarding SNF revalidation deadline suspension.
Skilled Nursing Facilities (SNFs): Provider enrollment guidelines
Read this article for new guidelines for Skilled Nursing Facilities (SNFs). Updated to add extended due date for revalidations.
Conditional payment requests for MSP claims
Providers may file a Medicare secondary payer (MSP) claim and request a conditional payment for a Medicare-covered service when...
Requesting Medicare secondary payer conditional payments
Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under...
New Fiscal Intermediary Shared System (FISS) consistency edit to validate attending physician NPI
Effective April 1, CMS implemented a new consistency edit to validate the attending physician NPI. Claims are returning with...
Resolve claim return reason code 34963 for outpatient therapy services
Are you providing outpatient therapy services on institutional claims and receiving reason code 34963 indicating the attending...
Payment of codes for chemotherapy administration and nonchemotherapy injections and infusion
CMS provided clarification regarding the Medicare guidance relating to complex administration CPT codes 96401-96549. Please read...
National Correct Coding Initiative (NCCI)
The National Correct Coding Initiative (NCCI) was developed to promote national correct coding methodologies and to control...