Prior authorization for hospital outpatient department services: Don’t wait too long to submit your prior authorization requests
When submitting prior authorization requests, be aware of response timeframes and documentation guidelines.
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Prior authorization for ambulance transports is for repetitive transports
A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a...
Prior authorization: Facet joints and cervical fusion
CMS has removed CPT codes 64492 and 64495 from the listing of codes requiring prior authorization. View our article to learn...
Checklist: Chronic care
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
Checklist: Clinical labs
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation...
How to bill correctly for transcranial magnetic stimulation (TMS) in the treatment of adults with major depressive disorder
First Coast is receiving first-level appeals (redeterminations) based on claim denials for providers not including the ordering...
Allowing electronic submission of medically denied cancel claims, reason code 30941
To determine if a claim was medically reviewed, providers should submit the requests correctly.
Targeted probe and educate (TPE) round results: Diagnostic radiology (CPT 93978)
View targeted probe and educate (TPE) round results for diagnostic radiology.
Billing Mpox vaccine and laboratory codes
This article will assist providers with proper billing relating to the Mpox vaccine and laboratory codes. This article was...
Appropriate drug billing for Prolia (denosumab) injections, J0897
View this important information you must know when billing for Prolia (denosumab) injections, J0897.