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CPT Category III T Codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the T codes listed...
Prior authorization program
Prior authorization is a process through which coverage is determined prior to providing or billing the service. This process...
Prior authorization program for repetitive, scheduled non-emergent ambulance transports (RSNAT)
CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in...
Billing the correct Medicare secondary payer insurance type code
Do you want to know how to avoid MSP claims payment delays and inappropriate denials?
Appeals status lookup tool: Part B help guide
This help document guides you through using the appeals status lookup tool on First Coast's Medicare provider website.
Drug HCPCS codes no longer requiring a paper invoice (JN)
To reduce provider burden, certain contractor priced HCPCS codes no longer require a paper invoice.
When the invoice information...
Provider audit master information form
This form is used by Medicare Part A providers who change the default or other contact who receives their interim rate...
CERT program
CMS established the Comprehensive Error Rate Testing (CERT) program to monitor and report the accuracy of Medicare fee-for...
Targeted probe and educate (TPE) round results: Wound debridement (CPT 11042-11045)
Top denial / partial denial reasons and high-level results are listed below from each round of Wound debridement TPE reviews...