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Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code 34554 if modifier ER, PO, or PN is billed on all service lines, and the practice location address is missing fr…
This article will assist Medicare Part A providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived.
Medicare Part B covers various colorectal cancer (CRC) screening tests furnished to individuals for the purpose of early detection of colon cancer. Learn more about these lifesaving preventive services.
Phosphate binders are paid as a renal dialysis service under Medicare Part B. Read this article to learn more.
Read this article to learn more about billing skilled nursing facility (SNF) no-pay claims.
Read this article to learn more about skilled nursing facility (SNF) demand billing.
Read this article to learn more about skilled nursing facility (SNF) sequential billing.
Read the following article for the most common billing requirements for end-stage renal disease related services.
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.