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This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care compare updates, and more.
Breaking news for critical access hospitals (CAHs): CMS has directed MACs to immediately turn off reason codes 31006 and 31007 to give providers time to submit all method II reassignments to their Part A CAHs promptly. Read further to learn…
View this guide on how to use the Provider Enrollment Gateway.
Use these checklists to ensure you have met medical documentation requirements based on specific services.
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…
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…
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.
Review minutes from the Part A/B Provider Outreach and Education Advisory Group (POE-AG) meeting for Puerto Rico. Minutes are in Spanish only.