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Hospital outpatient department (OPD) prior authorization (PA) exemption process reminders
Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted...
Ambulance transport - multiple patients
Learn about Medicare’s billing and payment guidelines for ambulance transports of multiple patients.
Responding to additional documentation requests (ADRs)
This article explains how to respond to ADRs.
Avoid the wait: submit electronically
Are you sending hardcopy mail to submit your requests to First Coast? Avoid the wait. There are faster and easier ways to send...
Instructions for completing the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance transport
Learn how to complete the the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance...
Goniotomy procedures performed in conjunction with insertion of a glaucoma drainage device is considered not reasonable and necessary
View this reminder regarding correct reporting of micro or minimally invasive glaucoma surgery (MIGS).
Submit prior authorization requests electronically
Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you...
Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J0897)
View targeted probe and educate (TPE) results - drugs and biologicals (HCPCS J0897).
Checklist: Diagnostic-Related Group (DRG) Validation
This checklist is intended to provide health care providers with a reference to use when responding to medical documentation...