First Coast is receiving first-level appeals (redeterminations) based on claim denials for providers not including the ordering psychiatrist on the claim when billing for transcranial magnetic stimulation (TMS). Read this article to learn m…
Are you participating in prior authorization and want to know how to maintain exemption within this program? Do you have questions regarding the different timeframes and dates relating to the deadlines and requirements associated with prior…
When physicians transfer the care of the patient during the global care period, the use of a modifier will be necessary to distinguish who is providing care for the patient. This article explains how to properly apply modifiers when these i…
SafeGuard Services LLC (SGS) is responsible for combating and preventing fraud, waste, and abuse in the southeastern jurisdiction, which includes Alabama, Florida, Georgia, North Carolina, Puerto Rico, South Carolina, Tennessee, the U.S. Vi…