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This article will assist Medicare Part B providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived.
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.
This briefly identifies the two methods used to determine the disproportionate share as well as the supplementary security income updates.
This gives you a brief overview of the outpatient prospective payment system reimbursement.
This gives a brief definition as to what constitutes an all inclusive payment for an RHC and an FQHC.