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The A/B MACs partnered together to answer practitioners’ top questions related to evaluation and management (E/M) office and other outpatient services (procedure codes 99202-99215) effective on January 1, 2021.
This edition includes information on preventing claim denials for ostomy supplies, revised ZIP code files for CBSAs, chronic care management services, and more.
View helpful hints for completing the CMS-855B application.
The following document was developed based on questions and answers posed during our webinars on the prior authorization (PA) program for certain hospital outpatient department (OPD) services.
Find news about local and national coverage determinations, learn how to search the Medicare coverage database, use the procedure/diagnosis code lookup tool, and review clinical trials.
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
Find information and resources that will help you properly respond to additional documentation requests within required timeframes.
Learn how to apply for your NPI, search the NPI registry, and update your records in the National Plan & Provider Enumeration System (NPPES).
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options available for you to submit provider enrollm…
Use the links on the left to view the steps to become a Medicare provider. This section offers links to guide providers through the Medicare enrollment process.