Part B

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User guide - finding LCDs, NCDs, and related coverage information

This how-to guide offers tips for searching for medical policy information via First Coast’s search tools and the CMS Medicare coverage database (MCD).

User guide - finding LCDs, NCDs, and related coverage information

This how-to guide offers tips for searching for medical policy information via First Coast’s search tools and the CMS Medicare coverage database (MCD).

POE-AG membership list -- Puerto Rico

Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for their geographic area. This document lists the members of Puerto Rico’s…

POE-AG membership list -- Puerto Rico

Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for their geographic area. This document lists the members of Puerto Rico’s…

Fast facts: Valid CERT/CMS communications

Read this article for information about communication impacts from the CERT contractor.

Fast facts: Valid CERT/CMS communications

Read this article for information about communication impacts from the CERT contractor.

Top claim denials / rejects

Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases your cash flow while reducing provider burden. 

Top claim denials / rejects

Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases your cash flow while reducing provider burden. 

New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting

Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center setting, effective for claims with dates of service on or after October 1,…

E/M: Reviewing amount and/or complexity of data

For the element of medical decision making addressing the amount and/or complexity of data to be reviewed and analyzed, the AMA Levels of Medical Decision Making table indicates: "Each unique test,…