Medical policy

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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.

No Medicare policies identified

In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.

Reporting the national drug code

Read this article for helpful information to report the national drug code on claims.

Billing for Rebyota fecal microbiota, live-jslm, HCPCS code J1440 -- Avoid rejections

Previous instructions to bill Rebyota fecal microbiota, live-jslm with HCPCS G0455, expired effective June 30, 2023. Instead, providers shall bill HCPCS code J1440 on the same claim with HCPCS 0780T…

Billing for Rebyota fecal microbiota, live-jslm, HCPCS code J1440 -- Avoid rejections

Previous instructions to bill Rebyota fecal microbiota, live-jslm with HCPCS G0455, expired effective June 30, 2023. Instead, providers shall bill HCPCS code J1440 on the same claim with HCPCS 0780T…