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Medicare & Veteran Affairs: Adjustments for duplicate claims
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…
Checklist: Musculoskeletal system and connective tissue or procedures
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for musculoskeletal system and connective tissue procedures (…
Checklist: Musculoskeletal system and connective tissue or procedures
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for musculoskeletal system and connective tissue procedures (…
Checklist: Hyperbaric oxygen (HBO) therapy documentation
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for hyperbaric oxygen (HBO) therapy services.
Prolonged physician services: Hospital inpatient or observation care services
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time by at least 15 minutes on the date of service.
Billing for vein ablation services? Access our LCD guidelines
Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to…
Fast facts: CERT claim sampling and review process
Read this article for information about CERT claim sampling and the review process.
Checklist: Critical care service
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for critical care services.
Fast facts: CERT claim sampling and review process
Read this article for information about CERT claim sampling and the review process.
The SPOT User Guide: Section 8 - Submit Documents
Complete review of the Submit Documents feature in SPOT.