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This edition includes information on adjusting claims for care coordination services, ICD-10 revisions to NCDs, HCPCS application summaries and coding determinations, and more.
Claims that are returned as unprocessable cannot be appealed. So what do you do with them? An unprocessable claim is one that is filed with incomplete and/or invalid information. This article provides resources for you to diagnose unprocess…
First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for hyperbaric oxygen therapy (HBO) services. Read to learn more about Medicare coverage guidance so you can document and submit HBO services cor…
The PC-ACE professional training module provides instructions necessary to set up and use the PC-ACE software.
The NCCI was implemented to promote national correct coding methodologies and to control improper coding leading to inappropriate payment.
Use this decision flowchart to assist in correctly applying the 25 modifier.
Use this decision flowchart to assist in correctly applying the 57 modifier.
Use this decision flowchart to assist in correctly applying the 58 modifier.