Medical policy

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View LCDs

Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions. There are two ways to view LCDs, either by viewing the list of all active…

View LCDs

Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions. There are two ways to view LCDs, either by viewing the list of all active…

Avoid negative impacts to your claims -- review billing and coding article A58918 molecular pathology and genetic testing

View this important information you must know if you bill for molecular pathology and genetic testing. This article was updated April 8.

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.

2025 portable X-ray response to comments

Thank you for taking the time to provide your comments on portable x-ray services. First Coast appreciates your feedback and your engagement in this important discussion. 

2025 portable X-ray response to comments

Thank you for taking the time to provide your comments on portable x-ray services. First Coast appreciates your feedback and your engagement in this important discussion. 

Prior authorization for ambulance transports is for repetitive transports

A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a 10-day period OR at least once per week for at least three weeks.…

Prior authorization for ambulance transports is for repetitive transports

A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a 10-day period OR at least once per week for at least three weeks.…

RSNAT (repetitive scheduled non-emergent ambulance transportation) glossary tool

The following article provides a list of common terms used by the medical review department for prior authorization requests.

View NCDs

CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered)…