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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.
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.
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.