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Read this article for information on billing PrEP for HIV drugs.
This help document guides you through using the appeals status lookup tool on First Coast's Medicare provider website.
Read this article, which provides billing guidance for acute kidney injury.
View this information about outlier reconciliation criteria for IPPS and LTCH PPS hospitals and the latest CMS change request.
View this notice from CMS regarding Medicare operations during the government shutdown.
Review this article if your claim is returning for reason code 326x4.
CMS is implementing a five-year demonstration project for the prior authorization of certain services provided in Ambulatory Surgical Centers (ASCs) and will be implementing the demonstration in two phases.
When billing for rehabilitation therapy services, there are some documentation requirements that must be met to comply with the reasonable and necessary definition.
Read this article for information about how CERT may grant temporary administrative relief to certain affected providers and suppliers during a disaster.
This edition includes information on adjusting claims for care coordination services, ICD-10 revisions to NCDs, HCPCS application summaries and coding determinations, and more.