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CMS implemented a prior authorization program for certain hospital outpatient department services for dates of service on or after July 1, 2020.
View these guidelines for completing the CMS-855A enrollment application for Part A institutional providers.
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related policy information, IOMs, and resources.
View the qualification and documentation requirements for becoming a Medicare-enrolled clinical nurse specialist.
Complete review of the Claim submission / ERA feature in SPOT.
This article has been revised to include instructions for completing the PAR, the PAR review and decision process, guidance on multiple or staged procedures, as well as best practices, tips and reminders related to the PAR.
CMS updated guidelines for critical care services effective January 1, 2022. These updates were implemented, and address billing and coding processes.
Prior authorization is a process through which coverage is determined prior to providing or billing the service. This process allows the provider to submit documentation prior to providing or billing the service. The contractor will then al…
Review this checklist to learn about the documentation requirements for medical professionals related to the repetitive, scheduled, non-emergency prior authorization program.
Review this page for First Coast Medicare EDI system status information.