Billing

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Billing the correct Medicare secondary payer insurance type code

Do you want to know how to avoid MSP claims payment delays and inappropriate denials?

Avoid claim processing delays when billing tetanus vaccinations

Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.

Avoid claim processing delays when billing tetanus vaccinations

Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.

Part A inpatient date of service reporting and split billing

This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.

Prompt payment interest rate revision

The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 4.625% is in effect January through July 2025.

Medicare deductible, coinsurance, and premium rates

CMS has issued the 2025 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee-for-service program. This page also contains related information for the…

Prompt payment interest rate revision

The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 4.625% is in effect January through July 2025.

Medicare deductible, coinsurance, and premium rates

CMS has issued the 2025 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee-for-service program. This page also contains related information for the…

Total knee arthroplasty

First Coast has identified total knee arthroplasty (TKA), also known as knee replacement services, CPT 27445, 27447, 27486 and 27487, as a top claim denial for claims reviewed by the Recovery Audit…

Bill infectious disease panels correctly

First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about billing these services correctly.