Billing

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Avoid claim processing delays when billing tetanus vaccinations

Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.

Prompt payment interest rate revision

The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 4.625% is in effect January through July 2025.

Prompt payment interest rate revision

The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 4.625% is in effect January through July 2025.

Total knee arthroplasty

First Coast has identified total knee arthroplasty (TKA), also known as knee replacement services, CPT 27445, 27447, 27486 and 27487, as a top claim denial for claims reviewed by the Recovery Audit…

Total knee arthroplasty

First Coast has identified total knee arthroplasty (TKA), also known as knee replacement services, CPT 27445, 27447, 27486 and 27487, as a top claim denial for claims reviewed by the Recovery Audit…

Medicare secondary payer (MSP): Medicare as the tertiary payer

Read this article for billing guidelines when Medicare is the tertiary payer.

Medicare secondary payer (MSP) ongoing responsibility for medicals (ORM)

Read the below article for more information on MSP ongoing responsibility for medicals.

Medicare secondary payer (MSP) ongoing responsibility for medicals (ORM)

Read the below article for more information on MSP ongoing responsibility for medicals.

Bill infectious disease panels correctly

First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about billing these services correctly.

Bill infectious disease panels correctly

First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about billing these services correctly.