Medical review

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Targeted probe and educate (TPE) round results: Wound debridement (CPT 11042-11045)

Review the top denial/partial denial reasons and high-level results of wound debridement (CPT 11042-11045) TPE round results.

Targeted Probe and Educate (TPE) Round results for Part A TTE

View these round results for transthoracic echocardiography (TTE).

Submit prior authorization requests electronically

Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you to use. Read this article to learn about your options.

Prior authorization program initiatives

Prior authorization is a process through which coverage is determined prior to providing or billing the service. This process allows the provider to submit documentation prior to providing or billing…

Prior authorization program initiatives

Prior authorization is a process through which coverage is determined prior to providing or billing the service. This process allows the provider to submit documentation prior to providing or billing…

Implantation of spinal neurostimulator

CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.

Implantation of spinal neurostimulator

CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.

Submit prior authorization requests electronically

Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you to use. Read this article to learn about your options.

Cervical fusion with disc removal

Effective for dates of service July 1, 2021, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for cervical fusion with disc removal if performed…

Cervical fusion with disc removal

Effective for dates of service July 1, 2021, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for cervical fusion with disc removal if performed…