Latest updates: Billing and coding

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Process for pathology, laboratory, and other codes

Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific…

Radioactive diagnostic agents for positron emission tomography of prostate-specific membrane antigen positive lesions in men with prostate cancer

Read this article to learn more about radioactive diagnostic agents for positron emission tomography of prostate-specific membrane antigen positive lesions in men with prostate cancer.

Modifier 62 fact sheet

Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session. When billing a procedure with modifier 62, documentation of the medical…

Long-term care hospital (LTCH) interim billing guidelines

Read these interim billing guidelines for long-term care hospitals.

Physician supervision of diagnostic tests

The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the…

Physician supervision of diagnostic tests

The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the…

End-stage renal disease (ESRD) billing requirements

Read the following article for the most common billing requirements for end-stage renal disease related services.

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…

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…