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Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific documentation with submission of these codes. P…
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1, 2025. This article details how to bill for…
When physicians transfer the care of the patient during the global care period, the use of a modifier will be necessary to distinguish who is providing care for the patient. This article explains how to properly apply modifiers when these i…
Find the appropriate forms to appeal claim decisions.
Get bragging rights around the office by placing your name alongside others on our honorary Medicare Navigator Notable Wall by earning any of our digital badges.
Review this information for details on the 2026 enrollment application fee.
The CMS sample revalidation letters offer providers the opportunity to see what they can expect to receive when it is time for revalidation or if they didn’t respond to a revalidation request.
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.
View this outline of key definitions, billing responsibilities, and claim submission requirements for referred laboratory services to ensure correct reporting, avoid duplicate billing, and maintain adherence to regulatory guidelines.
The National Correct Coding Initiative (NCCI) was developed to promote national correct coding methodologies and to control improper coding leading to inappropriate payments. Read this article to learn more about NCCI and other coding edits…