2025 portable X-ray response to comments
Thank you for taking the time to provide your comments on portable x-ray services. First Coast appreciates your feedback and...
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Clinicians: Are you ordering urological supplies for your patients?
Urological supplies are covered as part of the Prosthetic Device benefit as outlined in the Social Security Act § 1861(s)(8)...
Differences between fee schedule file types
This article explains the differences between the First Coast Part B fee schedule lookup, PDF files, and zipped text files.
Inpatient admitted prior to entitlement
There are special billing guidelines to follow when the beneficiary becomes entitled to Part A benefits in the middle of an...
Inpatient hospital entitlement changes
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will...
Finding fee schedule policy indicators
How to find policy indicators such as gloabl days for a service, relative value units (RVUs) for a particular code, and more.
Fee schedule par, nonpar, and limiting charge explanation
Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.
Checklist: Transitional Care Management services documentation
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Targeted probe and educate (TPE) round results: Endovascular cardiac valve replacement and supplement procedure (DRG 266 & 267)
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.