Goniotomy procedures performed in conjunction with insertion of a glaucoma drainage device is considered not reasonable and necessary
View this reminder regarding correct reporting of micro or minimally invasive glaucoma surgery (MIGS).
Articles
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Automation of the request for reopening claims process
This article informs you and your vendors about changes that will allow you to request reopening of claims electronically.
Physician ordering laboratory tests: Your vital role in submitting documentation
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
Total knee arthroplasty
First Coast has identified total knee arthroplasty (TKA), also known as knee replacement services, CPT 27445, 27447, 27486 and...
End-stage renal disease (ESRD) billing requirements
Read the following article for the most common billing requirements for end-stage renal disease related services.
COVID-19 vaccine and monoclonal antibody billing for Part B providers
This article will assist Medicare Part B providers with proper billing relating to COVID-19 vaccine and monoclonal antibody...
COVID-19 vaccine and monoclonal antibody billing for Part A providers
This article will assist Medicare Part A providers with proper billing relating to COVID-19 vaccine and monoclonal antibody...
Part A outpatient date of service reporting and split billing
This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.
Limitation on recoupment (935) process
This information outlines the process for the 935 recoupment.
How to use modifiers to indicate the status of an ABN
Learn which modifier to use when you expect Medicare will deny a claim that does not meet medical necessity criteria and whether...