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Effective for dates of service on or after August 7, 2019, Medicare will pay claims from approved providers for administration of autologous T-cells expressing at least one CAR for the treatment for cancer. Article was last updated January…
This edition includes information on crushing fraud, opioid use disorder, the Medicare participating physician agreement form expiration, and more.
This edition includes information on the clinical lab fee schedule, chronic care management, hospice claims billed by terminated hospices, and more.
CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II Professional Reassignments," for instructions to add reassignments.
This edition includes information for critical access hospitals, skilled nursing facilities, inpatient psychiatric facilities, and more.
Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time.
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 A appeals a…
View the most recent articles released by CMS.
First Coast provides a variety of CERT-related educational resources to assist providers with navigating CERT program requirements and achieving Medicare program compliance. Review our newest releases of the CERT Insider's Guide, Fast facts…
Learn what appeal functions can be completed in the SPOT online portal.