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Use this decision flowchart to assist in correctly applying the 79 modifier.
This edition includes information on the CMS IDea challenge, COVID-19 vaccine pricing for 2025-2026, preventing claim denials for orthopedic footwear, and more.
Nasal surgery is any procedure performed on the external or internal structures of the nose, septum or turbinate.
The MEDPARD is a comprehensive listing of participating providers and suppliers who have agreed to accept assignment on all Medicare covered services. Read this article for links to JN directories for Florida, Puerto Rico, and the US Virgin…
This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.
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…
Steps to import a file into PC-ACE in the Electronic Medica Claims (EMC) format.
View recordings of past in-house webinars regarding specialty services, such as SNF billing guidance, covered dermatology services, understanding psychotherapy, and more.
View the bibliography for sacroiliac joint nerve blocks and sacroiliac joint destruction procedures for a CAC meeting.