Search results
Filter by type
Line of business
Category
Filter by date
30 of 37 results
The January Integrated Outpatient Code Editor (IOCE) expands editing related to manifestation diagnosis codes. Read this article to find out more about the editing.
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.
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA. This recovery effort is referred to as t…
Find information on vaccine payment allowances and fee schedules, links to related enrollment for mass immunizers, and more. Recent additions include upcoming vaccine administration coding updates beginning July 1, 2026, for TOFIDENCE® IV i…
This article provides information regarding unsolicited / voluntary refunds, that is, monies received by Medicare not related to an open account receivable.
Read this article for more information on the hepatitis C virus and treatments covered by Medicare.
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.
This article will assist providers with proper billing relating to the Mpox vaccine and laboratory codes. This article was updated September 6 to advise providers to include the product code on claims.