Articles

When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will...

Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15...

Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims...

Specific guidelines apply to proper application of therapy modifiers to indicate therapy discipline of plan of care.

The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article...

The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and...

This edition includes information on National Recovery Month, prior authorization for osteogenesis stimulators, new code for...

This edition includes information on lower limb orthoses claim denials, new contact information for the external user services...

The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.

Learn how to use First Coast’s 5010 reject code lookup to resolve data-based issues with your 5010 claim files more quickly.