Intensive outpatient program (IOP) billing requirements for institutional services
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with...
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Medicare secondary payer (MSP) Contractor (formerly Benefits Coordination and Recovery Center [BCRC])
Read this article for more information on contacting the MSP Contractor.
First Coast POE-AG charter – Florida, Puerto Rico, and the U.S. Virgin Islands Part A
This charter outlines the focus and scope of First Coast Service Options’ (First Coast) Part A Provider Outreach and Education...
Mammography coverage and certification of mammography facilities
Read this article for information on mammography coverage and certification of mammography facilities.
COVID-19 vaccine and monoclonal antibody billing for Part B providers
This article will assist Medicare Part B providers with proper billing relating to COVID-19 vaccine and monoclonal antibody...
Multiple procedure payment reduction
Medicare applies a MPPR to the payment of select therapy services. The reduction applies to HCPCS codes contained on the list of...
Fast facts: Valid CERT/CMS communications
Read this article for information about communication impacts from the CERT contractor.
Skilled nursing facility (SNF) leave of absence
Read this article to learn more about billing a skilled nursing facility (SNF) leave of absence claim.
How to complete CMS-838 credit balance reports
First Coast is responsible to ensure compliance with the credit balance reporting process. The information provided below offers...
Appeal tips: Documentation to include with your Part A redetermination request
Learn what documentation to include when submitting a Medicare Part A appeals request.