As provided in §4507 of the Balanced Budget Act of 1997, a "private contract" is a contract between a Medicare beneficiary an eligible practitioner who has "opted out" of Medicare. Read this article…
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…
In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL…
In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL…
Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a “separate and distinct E/M encounter” from the service previously provided…
Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a “separate and distinct E/M encounter” from the service previously provided…