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Here is the list of Medicare provider / supplier specialty codes you can use as a reference during the enrollment process.
The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837 electronic claim. This article details the process for using this option.
Once claims have been entered and prepared, the next step is to connect to First Coast.
Please view these guidelines for submitting comments on proposed LCDs.
Read this article for information about the CERT comparative analysis reports.
Prior authorization (PA) for the ASC prior authorization demonstration is voluntary. However, if a provider elects to bypass PA, applicable ASC claims will be subject to prepayment medical review.
Here are key steps to take if you receive an ASCA enforcement review letter.
The PAR fax/mail coversheet for ASCs is now available for Florida ASCs participating in the ASC PA demonstration. ASCs in Florida can submit PARs beginning on January 5, 2026, for dates of service (DOS) on or after January 19, 2026.
Multi-jurisdictional CAC meeting minutes
When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the reasonable and necessary definition.