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This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for transitional care management (TCM) services.
Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.
How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original Medicare.
There are special billing guidelines to follow when the beneficiary becomes entitled to Part A benefits in the middle of an inpatient stay.
View the qualification and documentation requirements for becoming a Medicare-enrolled clinical nurse specialist.
View requirements for becoming a DSMT provider with Medicare.
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article to find out more about the editing.
Read this article for more information on how to get credentialed for Medicare as an anesthesiologist assistant.
This user guide is a reference material available to assist users on how to use First Coast's self-service online portal, the Secure Provider Online Tool (SPOT).