Medical review

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Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis

Review the top denial / partial denial reasons and high-level results listed for DRG 885.

Submit medical review documentation electronically

Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…

Submit medical review documentation electronically

Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…

Prior authorization of ambulance claims requires UTN in proper field

Repetitive, scheduled non-emergent ambulance transport (RSNAT) has been effective as of April 1, 2022. Through this program, a unique tracking number (UTN) is issued for each medical decision…

Instructions for completing the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance transport

Learn how to complete the the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance transports.

Checklist: Cardiac rehabilitation services

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.

Checklist: Cardiac rehabilitation services

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.

Checklist: Pulmonary rehabilitation services

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.

Checklist: Pulmonary rehabilitation services

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.

CBR Guide - Part B

The Comparative Billing Report (CBR) for Part B providers furnishes a detailed examination of the comparative data that Medicare considers when determining how the provider’s billing patterns…