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Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders for submitting overpayment requests to First Coast.
First Coast has seen an increase in claims for drugs, hemophilia clotting factors, and skin substitutes that exceed the dollar amounts above $99,999.99. Effective for claims received on or after November 6, claims missing the required infor…
View this special edition update on processing of telehealth and acute hospital care at home claims.
Trump administration issues request for information, guidance to expand access to real prices.
Read this article for tips on how to prevent RUC CO 24.
Effective for dates of service July 1, 2020, and after, hospital outpatient department (HOPD) providers will need to obtain prior authorization (PA) for panniculectomy, excision of excess skin and subcutaneous tissue (including lipectomy),…
These tips are based on questions posed regarding whether to bill an evaluation and management visit on the same day as a procedure or other services with modifier 25.
Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.
This edition includes information on the anniversary of the lower cost prescription drug law, seasonal flu vaccine pricing for the 2024-2025 season, increased oropouche virus activity, and more.
This edition includes information on a new model to target wasteful, inappropriate services in Original Medicare, CY 2026 proposed rules for ESRD and home health, revalidation deadline for skilled nursing facilities, and more.