Billing

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Medicare & Veteran Affairs: Adjustments for duplicate claims

CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…

Unsolicited / voluntary refunds

This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.

Unsolicited / voluntary refunds

This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.

Fast facts: Education on CERT error

This article provides insights into the educational initiatives implemented following the assessment of a CERT error.

Fast facts: Education on CERT error

This article provides insights into the educational initiatives implemented following the assessment of a CERT error.

Part A outpatient infusion and hydration services

Read this article for important billing information for outpatient infusion and hydration services.

POS 19 added for preventive, CR, and ICR services

Change request (CR) 14070, effective June 23, 2025, reflects the addition of POS 19 allowed for preventive services, CR, and ICR services.

Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program

This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.

Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program

This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.

Cardiac and pulmonary rehabilitation programs

Medicare pays for cardiac rehabilitation (CR), intensive cardiac rehabilitation (ICR), and pulmonary rehabilitation (PR) programs if specific criteria are met. This criterion includes coverage…