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.
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 57.
This edition includes information on proposed payment rules for fiscal year 2027, events, guidance on new requirements for hospital price transparency, and more.
Learn about First Coast’s online and instructor-led training opportunities; get involved with the Provider Outreach and Education Advisory Group (POE-AG); and find links to the educational resources available on the Centers for Medicare