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View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related policy information, IOMs, and resources.
View the qualification and documentation requirements for becoming a Medicare-enrolled clinical nurse specialist.
Complete review of the Claim submission / ERA feature in SPOT.
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.
CMS updated guidelines for critical care services effective January 1, 2022. These updates were implemented, and address billing and coding processes.
View the most recent updates for our LCDs and articles. An LCD and two articles have been revised.
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.