Medical review

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How to bill correctly for transcranial magnetic stimulation (TMS) in the treatment of adults with major depressive disorder

First Coast is receiving first-level appeals (redeterminations) based on claim denials for providers not including the ordering psychiatrist on the claim when billing for transcranial magnetic…

Repetitive scheduled non-emergency ambulance transport prior authorization claims submission guidelines

Follow this instructions to learn how to file a claim once you received the unique tracking number (UTN) related to the prior authorization of repetitive, scheduled non-emergency ambulance transports…

Understanding repetitive scheduled non-emergent ambulance transports

Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.

Targeted probe and educate (TPE) round results: Clinical laboratory services

View targeted probe and educate (TPE) round results for clinical laboratory services.

Targeted probe and educate (TPE) round results: Clinical laboratory services

View targeted probe and educate (TPE) round results for clinical laboratory services.

Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J7318-J7329, J7331-J7332)

View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).

Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J7318-J7329, J7331-J7332)

View TPE round results for drugs and biologicals (HCPCS J7318-J7329, J7331-J7332).

Checklist: Drugs and Biologicals

This checklist is intended to provide health care providers with a reference for use when responding to medical documentation requests for Drugs and Biologicals.

Checklist: Cardiac defibrillator implant w/o cardiac cath

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac defibrillator implant w/o cardiac cath (DRG 226 and 227) services.

Checklist: Cardiac defibrillator implant w/o cardiac cath

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac defibrillator implant w/o cardiac cath (DRG 226 and 227) services.