Leqembi for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease
Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and...
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Multiple procedure payment reduction on the professional component and technical component of certain diagnostic imaging procedures
The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the...
Multiple procedure payment reduction
Medicare applies a MPPR to the payment of select therapy services. The reduction applies to HCPCS codes contained on the list of...
New Fiscal Intermediary Shared System (FISS) consistency edit to validate attending physician NPI
Effective April 1, CMS implemented a new consistency edit to validate the attending physician NPI. Claims are returning with...
RTP reason code 34963 FAQ
Read this article to learn how to resolve claim rejects for reason code 34963.
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).
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.