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Targeted probe and educate (TPE) round results: Clinical laboratory services

December 23, 2025
View targeted probe and educate (TPE) round results for clinical laboratory services.

Targeted probe and educate (TPE) round results: Surgical services - Mohs surgery (CPT 17311-17315)

December 23, 2025
View targeted probe and educate (TPE) round results: Surgical services - Mohs surgery (CPT 17311-17315).

Completing the Medicare enrollment CMS-855I application

December 23, 2025
View these instructions for the CMS-855I form.

Appropriate drug billing for Prolia (denosumab) injections, J0897

December 23, 2025
View this important information you must know when billing for Prolia (denosumab) injections, J0897.

Targeted probe and educate (TPE) round results: Diagnostic radiology (CPT 93978)

December 23, 2025
View targeted probe and educate (TPE) round results for diagnostic radiology.

How to bill correctly for transcranial magnetic stimulation (TMS) in the treatment of adults with major depressive disorder

December 23, 2025
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…

YouTube video: Answers to your prior authorization exemption questions

December 23, 2025
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…

Targeted probe and educate (TPE) round results: Skilled nursing facility (SNF)

December 23, 2025
Review the top denial / partial denial reasons and high-level results of SNF TPE round results.

Postoperative co-management -- modifiers 54 and 55

December 23, 2025
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 selected as unified program integrity contractor for southeastern jurisdiction

December 23, 2025
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…
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