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First Coast Service Options Inc.
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Last Modified: 2/9/2012 Location: FL, PR, USVI Business: Part A

Top Part A claim rejects

Below are the reason codes for the most frequently rejected claims processed by First Coast Service Options Inc. (FCSO) Medicare Part A for Jurisdiction 9 (J9) during December 2011, as well as descriptions, tips, and resources to help you avoid many of these issues.
Please share this information with all who need to know, such as your IT staff, billing service, vendor, or clearinghouse. Remember -- billing Medicare correctly the first time saves everyone time and money.
• Click here for general Part A inquiries (e.g., claims, eligibility information).

Reason code descriptions and tips or frequently-asked questions (FAQs)

Note: Under current guidelines, any reference to "UPIN" within the definitions of codes should be interpreted as "NPI."
• 10417
• 34540
• 36428
• 38005
• 38031
• 38092
• 38200
• 39011
• 39929
• C7010
• T5052
• U5210
• U5233
• U6802
• Other common tips on inquiries, rejects and RTPs -- click here
Did you know you can create an account and receive your personalized Provider Data Summary (PDS) report?
The Provider Data Summary (PDS) is a comprehensive billing report designed to be utilized along with Medicare remittance notices (MRNs) and other provider-accessible billing resources to help identify potential Medicare billing issues through a detailed analysis of your personal billing patterns in comparison with those of similar providers. Use the PDS portal to request this useful report and enhance the accuracy and efficiency of your Medicare billing process.
Visit our Improve your billing page, which offers easy access to the PDS portal as well as an array of other helpful resources, including the E/M interactive worksheet and the comparative billing report (CBR).
Source: FCSO Education Action Team
First Coast Service Options (FCSO) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.