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Find news about local and national coverage determinations, learn how to search the Medicare coverage database, use the procedure/diagnosis code lookup tool, and review clinical trials.
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
View targeted probe and educate (TPE) round results for 15271-15278.
The Medicare Part A DDE user manual has been updated to include changes from the October 2025 release and a new section with tips. October 2025 release details include changes to the inquiry menu. Review the change summary chart at the end…
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for nursing home 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 claims.
This edition includes information on quarterly credit balance reports, preventing claim denials for immunosuppressive drugs, CHAMPVA policy on weight loss medications, and more.
This edition includes information on 2025 quality conference highlights, remote patient monitoring billing, hospice fast facts, and more.
Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.
Step 1: Choose your billing method
There are two general billing methods: electronic or paper submission.
List of codes that cannot be corrected using the reopening process in SPOT.