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Part B service-specific review – drugs and biologicals (J0178 Eylea, J0897 Prolia, J2778 Lucentis, J9217 Lupron (Leuprolide))
Summary for drugs and biologicals (April-May 2021).
Claims with CPT codes 90653, 90656, 90657, 90660, 90661, 90662, 90658, and 90673 priced incorrectly
2024-2025 flu season codes priced incorrectly.
Claims adjusted in error due to an issue that affected some professional claims for the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model
CMS is aware of an issue that occurred on July 26 that affected some 2021-2024 professional claims for the Accountable Care...
Quarterly credit balance reports no longer required
Effective December 1, 2024, providers are no longer required to submit quarterly credit balance reports.
Bill infectious disease panels correctly
First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about...