Part B fact sheet: Observation care services
Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short-term treatment...
Prolonged physician services: Hospital inpatient or observation care services
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time...
Modifier 76 fact sheet: Repeat procedures
Modifier 76 is used to indicate repeat procedures performed on the same day for the same patient. Use this fact sheet for ways...
Modifier 22 fact sheet
Effective August 31, 2023, documentation is required for claims submitted with modifier 22. To avoid claim rejects and future...
Telehealth services
Telehealth services substitute for an in-person visits and involve two-way, interactive technology permitting communication...
Modifier 53 fact sheet
To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly...
Improve your billing of hospital inpatient or observation discharge day management codes
Effective January 1, 2023, changes were made to hospital inpatient or observation discharge day management codes. Review this...
YouTube video: Avoid Medicare claim rejects that should be submitted to a Medicare Advantage plan
Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.
Correct reporting of MSP type on electronic claims
This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.
Avoid rejection of paper claims
First Coast made changes to how we handle paper claims marked for "other insurance". Review this article to avoid claim...