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This article has been revised to include instructions for completing the PAR, the PAR review and decision process, guidance on multiple or staged procedures, as well as best practices, tips and reminders related to the PAR.
CMS updated guidelines for critical care services effective January 1, 2022. These updates were implemented, and address billing and coding processes.
Review this page for First Coast Medicare EDI system status information.
This edition includes information on proposed payment rules for fiscal year 2027, events, guidance on new requirements for hospital price transparency, and more.
To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.