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Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers RT, LT or 50, site levels, alternative c…
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 request a new LCD or an…
The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for anesthesia administered during selected spinal pain management (SPM) procedures that were at risk for noncompliance wi…
To avoid delays, carefully review your additional documentation request (ADR) letter to ensure you’re sending medical documentation to the correct address.
CMS has established specific criteria for determining the eligibility of physician and non-physician practitioners for enrollment in the Medicare program and reimbursement for services furnished to beneficiaries. Learn how to expedite the p…
Learn about the top errors First Coast has identified for Opioid Treatment Program (OTP) claims and how you can prevent the errors on your claims.
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.
The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.
View this article for instructions on how and when to use modifier 77.
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 57.