E/M services furnished by a non-physician practitioner incident to a physician's service
Medicare pays for services and supplies that are furnished incident to a physician’s or other practitioner’s services, are...
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Part B fact sheet: Observation care services
Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short-term treatment...
Immunization roster billing
Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give...
Submitting claims when the dollar amount exceeds $99,999.99
First Coast has seen an increase in claims for drugs, hemophilia clotting factors, and skin substitutes that exceed the dollar...
Learn how to determine when Medicare is the primary or secondary payer
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers...
Processing of Medicare Secondary Payer (MSP) claims
Read this article for an important change to MSP claim processing.
Providers billing for drug Octagam HCPCS code J1568
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of...
Checklist: Application of skin substitutes
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...
Checklist: Chemotherapy, drugs, biologicals, and injection services
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for...
Checklist: Evaluation and management (E/M) services documentation
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation...