Claims

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Medicare Beneficiary Identifier - get it, use it

There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare.

Medicare Beneficiary Identifier - get it, use it

There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare.

Ambulatory surgical center (ASC) pass-through devices

Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Review this article for more details on pass-through devices in an ambulatory surgical center…

Modifiers applicable to ambulatory surgical centers (ASCs)

Payment for ambulatory surgical centers (ASCs) are made under a separate payment system. As such, certain modifiers are specific to ASCs. This article explores these modifiers.

Modifiers applicable to ambulatory surgical centers (ASCs)

Payment for ambulatory surgical centers (ASCs) are made under a separate payment system. As such, certain modifiers are specific to ASCs. This article explores these modifiers.

Beneficiary-submitted claim filing instructions

This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.

Tips on how to avoid billing a duplicate claim

Duplicate claim denials continue to be one of the top billing errors. Duplicate submission of Medicare claims causes an increase in cost, valuable time, and resources for you, as well as First Coast…

Appropriate drug billing Part B

Read this article to learn more about appropriately billing Part B drugs.

Drugs and biologicals Part A: Using the JW and JZ modifiers

The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a single-dose containers. Read this article to understand how these modifiers…

Appropriate use of not otherwise classified codes when billing drugs and biologicals

Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC) codes must only be used when a more specific HCPCS or CPT code is not…