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First Coast provider outreach and education advisory groups meet at least three times per year. Meetings may be held online (e.g., webinar) or as a face-to-face event. This schedule lists the meetings planned for Florida, the U.S. Virgin Is…
Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for their geographic area. This document lists the members of Part A and Part B advisory groups for providers in Flo…
The Provider Outreach and Education team at First Coast welcomes you to Medicare. Providers are responsible for knowing and following the rules and regulations that apply to all services billed to Medicare under their provider number.
Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to endovenous radiofrequency ablation and laser treat…
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.
CMS updated guidelines for critical care services effective January 1, 2022. These updates were implemented, and address billing and coding processes.
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific documentation with submission of these codes. P…
Medicare applies a MPPR to the payment of select therapy services. The reduction applies to HCPCS codes contained on the list of “always therapy” services, regardless of the type of provider or supplier furnishing the services. Find out the…
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.