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This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care compare updates, and more.
View this information regarding requests for RHC and FQHC lump sum payments in advance due to COVID-19.
We added a YouTube video on Medical Review best practices to prevent unnecessary “non-response” denials. Let us know what you think by selecting the Like button and don’t forget to subscribe to our YouTube channel. Thanks for watching!
CMS has issued a final NCD for FDA-approved Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs to prevent HIV infection. Note: Local contractor pricing has been revised for code J0750. Please review the article for current pricing.
Here are payment allowances for ambulance services for services provided January 1 - December 31, 2022.
First Coast is receiving several appeals of cardiovascular stress test claims that now require dual diagnoses. Please review this article for details on avoiding unnecessary denials and appeals by submitting the claim correctly the first ti…
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2023 (revised July 2023).
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2023 (revised July 2023).
Learn how to use First Coast’s 5010 reject code lookup to resolve data-based issues with your 5010 claim files more quickly.