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This edition includes information on a Medicare fraud scheme alert, DMEPOS fee schedule updates, Medicare Diabetes Prevention Program payment rates, and more.
Learn how to use First Coast’s 5010 reject code lookup to resolve data-based issues with your 5010 claim files more quickly.
Use this help guide for the enrollment application status tool. This versatile application allows you to check the status of your enrollment application in the Medicare program in three ways.
Find information regarding the appeals process, including reopenings, and overpayments. Learn how to appeal Medicare coverage and payment decisions and check status on existing appeals.
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.
Find the latest news pertaining to Medicare billing, coding, and general coverage changes.
View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and mileage (HCPCS A0428 and A0425).
CMS announces resources and flexibilities to assist with the public health emergency in the state of Texas.
Learn about various programs which focus on ensuring Medicare compliance. Topics include: Comprehensive error rate testing (CERT), prior authorization, and targeted probe and educate.