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Billing the correct Medicare secondary payer insurance type code

Do you want to know how to avoid MSP claims payment delays and inappropriate denials?

Chiropractic services -- additional resources

Here are additional educational resources identified specifically for chiropractic services.

Hospice: New requirement for physicians who certify patient eligibility

Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7, 2024 and after with dates of service June 3, 2024 or later.

Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the billing instructions detailed within.

Appropriate use of assistant at surgery modifiers and payment indicators

Here is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined under the Medicare physician fee schedule (MPFS).

Reminder on mandatory Medicare claim submission requirements

Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.

When not to show patient paid amounts on claims

First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim and provides solutions when assignment is a…

Prolonged physician services: Home or residence visits

Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Avoid negative impacts to your claims -- review billing and coding article A58918 molecular pathology and genetic testing

View this important information you must know if you bill for molecular pathology and genetic testing. This article was updated April 8.

Preventive services: Coverage determination

Find information on local and national coverage determinations specific to preventive services.