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The MEDPARD is a comprehensive listing of participating providers and suppliers who have agreed to accept assignment on all Medicare covered services. Read this article for links to JN directories for Florida, Puerto Rico, and the US Virgin…
This document was developed based on questions and answers posed during our webinars on the PA demonstration for ASC services.
Top denial/ partial denial reasons and high-level results are listed below from each round of Transitional Care Management (TCM) services TPE reviews that have been conducted thus far by Medical Review.
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 B financial…
Steps to import a file into PC-ACE in the Electronic Medica Claims (EMC) format.
View recordings of past in-house webinars regarding specialty services, such as SNF billing guidance, covered dermatology services, understanding psychotherapy, and more.
View the bibliography for sacroiliac joint nerve blocks and sacroiliac joint destruction procedures for a CAC meeting.
Clinical trials background
What regulatory guidance addresses devices and clinical trials in the Medicare program?
The CAC is used to supplement the MAC’s internal expertise and to ensure an unbiased and contemporary consideration of “state of the art” technology and science. Please read this fact sheet for more details.
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC) codes must only be used when a more specific HCPCS or CPT code is not available. Review this article for proper use…