Prior authorization

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…

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.

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 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…

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

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

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…

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…

On August 1, exempt OPDs will receive an additional documentation request (ADR) for a 10-claim post-pay sample on finalized claims with dates of service on or after January 1, through June 30. Review…

For any service or item to be covered by Medicare, it must be eligible for a defined Medicare benefit category, be reasonable and necessary for the diagnosis or treatment of illness or injury or to…