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CMS established the Comprehensive Error Rate Testing (CERT) program to monitor and report the accuracy of Medicare fee-for-service (FFS) payments. The CERT program measures the error rate for claims submitted to Medicare contractors. View t…
View this special edition update on processing of telehealth and acute hospital care at home claims.
Read this article for tips on how to prevent RUC CO 24.
Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders for submitting overpayment requests to First Coast.
This table of MLN Matters articles includes articles released by CMS from July to September.
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…
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.
Trump administration issues request for information, guidance to expand access to real prices.
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.