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Claims are introduced into PC-ACE by either entering them manually or by importing them from an external source. The claim import method is ideal for facilities that maintain their claims in an upstream claims management system.
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original Medicare.
There are special billing guidelines to follow when the beneficiary becomes entitled to Part A benefits in the middle of an inpatient stay.
View the qualification and documentation requirements for becoming a Medicare-enrolled clinical nurse specialist.
View requirements for becoming a DSMT provider with Medicare.
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article to find out more about the editing.
Read this article for more information on how to get credentialed for Medicare as an anesthesiologist assistant.
This user guide is a reference material available to assist users on how to use First Coast's self-service online portal, the Secure Provider Online Tool (SPOT).
Access all of our self-service tools here.
Information pertaining to Part B rehabilitation services, including links to LCDs/NCDs, education, FAQs, provider enrollment, CMS IOMs, and other resources.