Billing
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 “always therapy” services, regardless of the type of provider or…
Limitation on recoupment (935) process
This information outlines the process for the 935 recoupment.
Limitation on recoupment (935) process
This information outlines the process for the 935 recoupment.
Reject reason code for Part A claims returned to a provider more than three times
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this reason code.
Physician ordering laboratory tests: Your vital role in submitting documentation
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
Physician ordering laboratory tests: Your vital role in submitting documentation
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
Part A outpatient date of service reporting and split billing
This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.
Appropriate drug billing for Prolia (denosumab) injections, J0897
View this important information you must know when billing for Prolia (denosumab) injections, J0897.
Appropriate drug billing for Prolia (denosumab) injections, J0897
View this important information you must know when billing for Prolia (denosumab) injections, J0897.
Automation of the request for reopening claims process
This article informs you and your vendors about changes that will allow you to request reopening of claims electronically.