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Learn about various programs which focus on ensuring Medicare compliance. Topics include: Comprehensive error rate testing (CERT), prior authorization, and targeted probe and educate.
View contact information for the Claims area.
This edition includes information on the CMS IDea challenge, COVID-19 vaccine pricing for 2025-2026, preventing claim denials for orthopedic footwear, and more.
Find the latest news pertaining to Medicare billing, coding, and general coverage changes.
Information pertaining to hospice, education, FAQs, provider enrollment, CMS IOMs, home health and other resources.
Care management services are covered under the Medicare program. View information regarding care management services, including links to related CMS resources and references.
This edition includes information on April updates to the Medicare Physician Fee Schedule, vaccine administration national fee schedule, and other updates.
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.
First Coast has created standard roster billing forms for COVID-19, monoclonal antibodies, flu, pneumococcal, and hepatitis B services. These forms are effective for all roster billing claims. Learn more about our Part B forms.
Steps to import a print image file into PC-ACE.