JN

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for critical care services.

Read this article for information about CERT claim sampling and the review process.

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…

Your visit to First Coast’s provider websites is private and secure

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.

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…

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for critical care services.

CARC 22 - This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records indicate that Medicare is the secondary payer.

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for Skilled Nursing Facility (SNF) services.

This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for Mohs micrographic surgery services.