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This how-to guide offers tips for searching for medical policy information via First Coast’s search tools and the CMS Medicare coverage database (MCD).
We'd like to remind providers of medical documentation you'll need to submit when filing a redetermination or clerical error reopening for a claim (or line item) denied due to an MUE.
Review these meeting minutes from the Part B POE AG meeting.
Read this article for tips on how to prevent RUC CO 16.
This guide provides important tips for configuring your SFTP file.
This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests pertaining to clinical laboratory services. Health care providers retain responsibility to submit complet…
Use this decision flowchart to assist in correctly applying the 58 modifier.
Use this decision flowchart to assist in correctly applying the 78 modifier.
Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Review this article for more details on pass-through devices in an ambulatory surgical center (ASC).
Payment for ambulatory surgical centers (ASCs) are made under a separate payment system. As such, certain modifiers are specific to ASCs. This article explores these modifiers.