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As a MAC, First Coast does not provide the "Informativa de Ingreso 480.6A" or an equivalent document disclosing the provider's annual reimbursement to providers in Puerto Rico or the U.S. Virgin Islands. This article provides options to acc…
PC-ACE version 7.0 is now available. Follow these instructions to complete the required quarterly upgrades or the full installation after initial enrollment.
Make sure to provide your correct PTAN in the proper format when contacting us for any claim-related inquiries. PTANs that have double zeroes as a prefix (00XXXXX) should be provided with those zeroes, followed by the remaining digits. If y…
Do you know what sections of the CMS enrollment applications you must complete? Review this article to learn more.
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Spotlight
Review the top denial/partial denial reasons and high-level results from each round of DRG 226 and 267 TPE.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for transitional care management (TCM) services.
Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.
How to find policy indicators such as global days for a service, relative value units (RVUs) for a particular code, and more.
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will determine whether to bill the Medicare Advantage plan and/or original Medicare.