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This edition includes information on payments to intermittent urinary catheter suppliers, preventing claim denials for surgical dressings, an April update to the home health prospective payment system grouper, and more.
Top denial/ partial denial reasons and high-level results are listed below from each round of Transitional Care Management (TCM) services TPE reviews that have been conducted thus far by Medical Review.
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 submit Part B financial…
Read this article to learn more about the 935 recoupment process.
Steps to import a file into PC-ACE in the Electronic Medica Claims (EMC) format.
View the most recent updates for our LCDs and articles. A final LCD has become effective.
View these round results for rehabilitation services outpatient.
View targeted probe and educate (TPE) round results for clinical laboratory services.
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.