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Cardiology: Avoid denials and appeals -- new dual diagnosis requirements for cardiovascular stress test procedures

First Coast is receiving several appeals of cardiovascular stress test claims that now require dual diagnoses. Please review this article for details on avoiding unnecessary denials and appeals by…

Targeted probe and educate (TPE) round results: Inpatient rehabilitation facilities (IRF)

Review the targeted probe and educate (TPE) round results for inpatient rehabilitation facility (IRF).

Targeted probe and educate (TPE) round results: Inpatient rehabilitation facilities (IRF)

Review the targeted probe and educate (TPE) round results for inpatient rehabilitation facility (IRF).

Targeted probe and educate (TPE) round results: Clinical laboratory services

View targeted probe and educate (TPE) round results for clinical laboratory services.

Targeted probe and educate (TPE) round results: Clinical laboratory services

View targeted probe and educate (TPE) round results for clinical laboratory services.

Type of Service indicators (TOS)

The place of service or diagnosis may be considered when determining the appropriate TOS. The descriptors for each of the TOS codes listed in the following table are:

Type of Service indicators (TOS)

The place of service or diagnosis may be considered when determining the appropriate TOS. The descriptors for each of the TOS codes listed in the following table are:

Fast facts: Responding to CERT additional documentation requests

Read this article for information about responding to CERT documentation requests.

Fast facts: Responding to CERT additional documentation requests

Read this article for information about responding to CERT documentation requests.

Fee development process of new drug code pricing

View this article for information regarding local contractor pricing.