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Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and segment information detailed within. The NCT number has been added to the instructions.
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and supportive medical record documentation.
Read this article for important changes and revisions to the MDPP program for calendar year 2026.
Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services is extremely important for the accurate and timely processing and payment of claims. Partnering with Medicare can…
View requirements for enrolling as a clinical psychologist with Medicare.
Read this article for tips on how to prevent reject reason code U5233.
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption would remain in effect for a 12-month peri…
View these recordings of past in-house webinars on topics such as cancer screenings, wellness visits, heart disease, and more.
Read this article for tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD.
CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in Florida, Puerto Rico and the US Virgin Islands. Learn more about the program and how you can participate.