What physicians need to know: home health patient-driven groupings model (PDGM)
In November 2018, the CMS finalized a new case-mix classification model, the PDGM, effective beginning January 1, 2020. The PDGM...
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Physicians: Are you ordering surgical dressings for your patients?
Please review this article from the durable medical equipment (DME) MACs about ordering surgical dressings for your Medicare...
Volunteer as a CAC member
Join First Coast's Contractor Advisory Committee (CAC) to provide your input during the development process of LCDs.
Long term care facility prospective payment system standard versus site neutral payment
For discharges on or after October 1, 2015, there are two separate payment categories for long term care hospital (LTCH)...
Availability of the list of essential medicines considered to be in shortage for the purposes of the recently finalized separate IPPS payment for establishing and maintaining access to essential medicines
In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to...
Clinicians: Are you ordering diabetic shoes for your patients? – Revised
Please review this article from the durable medical equipment (DME) MACs about ordering diabetic shoes for your patients.
Counting units for therapy codes
Read this article to learn how to count units to properly bill therapy HCPCS codes.
Diagnostic testing for sleep disorders
This is an article about diagnostic testing for sleep disorders.
Ambulance modifiers
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance...
MLN Connects for August 14, 2025
MLN Connects for Thursday, August 14, 2025
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- FY 2026 SNF VBP Program: Download Your August 2025 Performance Score Reports
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