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Review the targeted probe and educate (TPE) round results for inpatient rehabilitation facility (IRF).
Medical review of claims helps to ensure that Medicare pays for services that are covered, correctly coded, and medically reasonable and necessary.
View this article for information concerning requirements of change request 13164.
Duplicate claim denials continue to be one of the top billing errors. Duplicate submission of Medicare claims causes an increase in cost, valuable time, and resources for you, as well as First Coast.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for critical care services.
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA. This recovery effort is referred to as t…
Our Medicare Navigator Program is back with webinars focused on supporting providers to successfully navigate Medicare program requirements and submit complete, accurate transactions. Review our event calendar for the full listing of events…
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.
Read this article for information about CERT claim sampling and the review process.
Read this article to review some helpful information about the CERT program responding to additional documentation requests (ADRs).