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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…
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
This table of MLN Matters articles includes articles released by CMS from October through December.
This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF admission. This criteria is required to meet Medicare guidelines for a SNF covered stay and medical necessity.
Find the latest Medicare news identified specifically for providers of DME as well as helpful information, tools, and links to CMS resources pertaining to these specialties.
This edition includes information on PrEP for HIV transition of coverage, ESRD revised guidance, telehealth services and billing for place of service 10, and more.
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.