Part B

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Improve your billing of hospital inpatient or observation discharge day management codes

Effective January 1, 2023, changes were made to hospital inpatient or observation discharge day management codes. Review this article for tips on proper code submissions.

Tips on how to avoid billing a duplicate claim

Duplicate claim denials continue to be one of the top billing errors. Duplicate submission of Medicare claims causes an increase in cost, valuable time, and resources for you, as well as First Coast…

Chronic care management and patient communication

CMS addresses chronic care management guidelines and how practitioners can offer access to care and care continuity, with reference to communication methods such as secure messaging, secure web, or…

Chronic care management and patient communication

CMS addresses chronic care management guidelines and how practitioners can offer access to care and care continuity, with reference to communication methods such as secure messaging, secure web, or…

Updated evaluation and management center

First Coast has updated our E/M center to provide links and tools to assist.

Appropriate drug billing Part B

Read this article to learn more about appropriately billing Part B drugs.

No Medicare policies identified

In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.

No Medicare policies identified

In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.

Modifier AI

The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All other physicians who perform an initial evaluation on this patient bill…

Bilateral indicators

The Medicare physician fee schedule status indicators for bilateral services should be used to determine if the procedure is allowed to be performed bilaterally.