Hospital outpatient department (OPD) prior authorization exemption process
On August 1, exempt OPDs will receive an additional documentation request (ADR) for a 10-claim post-pay sample on finalized...
Articles
Article Type
Category
First Coast supports compliance awareness during the month of July
Thanks for joining us. As the July Medicare Navigator Foundations of Compliance Workshop wraps up, we hope you found value in...
National Part A/B MAC Ambulance Supplier Coalition
The next virtual National A/B MAC ambulance provider/supplier coalition meeting will be held on Wednesday, September 16, 2026...
Hospital: Additional resources
Information pertaining to inpatient and outpatient hospital resources.
PC-ACE User Guide: Section 5 - Flu, pneumonia, COVID-19, hepatitis B, or monoclonal antibody (mAb) infusion injection roster billing
Roster billing is available for Part B providers that bill for influenza, pneumonia, COVID-19, hepatitis B, and Monoclonal...
Health equity innovation
CMS has designed several initiatives to eliminate disparities in health care quality and access so that all Medicare patients...
Skilled nursing facility (SNF) 5-claim probe and educate (P&E) round results
View this article to view the results for the SNF 5-claim probe and educate (P&E).
Requesting a comparative billing report -- Part A providers
Comparative billing report (CBR) information is available to providers and suppliers by request.
Targeted probe and educate (TPE) round results: Rehabilitation services (CPT 97112, 97140, 97110, 97116, 97124, 97530)
View targeted probe and educate (TPE) round one results for rehabilitation services.
Contractor numbers for processing MAC workload
View First Coast's MAC workload numbers (payer IDs) issued by CMS.