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CMS recently changed their address for appealing opt-out decisions and CAP/reconsiderations. Read this article to find the new address.
A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.
View these commonly used enrollment terms.
This article will assist Medicare Part B providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived.
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers RT, LT or 50, site levels, alternative c…
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 available for you to request a new LCD or an…
The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for anesthesia administered during selected spinal pain management (SPM) procedures that were at risk for noncompliance wi…
Review this article to learn how you can change the address to which additional documentation requests (ADRs} are mailed.
To avoid delays, carefully review your additional documentation request (ADR) letter to ensure you’re sending medical documentation to the correct address.
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.