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This edition includes information on crushing fraud, preventing E/M claim denials, a CMS listening session, and more.
Medical decision-making (MDM) is one of the key components used to determine the level of service for Evaluation and Management (E/M) coding. Since 2021, the American Medical Association (AMA) and CMS have emphasized MDM (or time) as the pr…
This edition includes information on critical access hospitals, seasonal flu vaccine pricing for 2025-2026, nursing home care compare updates, and more.
Breaking news for critical access hospitals (CAHs): CMS has directed MACs to immediately turn off reason codes 31006 and 31007 to give providers time to submit all method II reassignments to their Part A CAHs promptly. Read further to learn…
Use these checklists to ensure you have met medical documentation requirements based on specific services.
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.
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 A financial…
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…