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Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to endovenous radiofrequency ablation and laser treat…
Find information on local and national coverage determinations specific to preventive services.
Read this article for more information on the hepatitis C virus and treatments covered by Medicare.
Read this article to learn more about billing a skilled nursing facility (SNF) interrupted stay and lower level of care.
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this reason code.
Effective April 27, 2026, First Coast will be changing banks from Citibank to JP Morgan Chase.
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers RT, LT or 50, site levels, alternative c…
See this article for additional resources for mass immunizers.
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the elements of a model compliance plan.
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article to find out more about the editing.