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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.
Read this article for information on vaccine fees for calendar year 2025.
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.
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.
This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.
Effective August 31, 2023, documentation is required for claims submitted with modifier 22. To avoid claim rejects and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applyi…