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Modified: 7/23/2018
The Centers for Medicare & Medicaid Services (CMS) recently updated the list of Healthcare Common Procedure Coding System (HCPCS) codes that are subject to the consolidated billing provision of the skilled nursing facility (SNF) prospective payment system. [MM10852]
Modified: 7/19/2018
This information outlines the process for the 935 recoupment.
Modified: 7/19/2018
To determine if a claim was medically reviewed, providers should look at certain fields on the claim screen. [Provider Outreach and Education]
Modified: 7/17/2018
To correct claims returned for beneficiary name and number mismatch, take the following action. [CR 7260]
Modified: 7/10/2018
FISS recently identified a problem for DDE providers using option 10 to find eligibility information. At this time, the issue has been resolved.
Modified: 7/7/2018
Learn which modifier to use when you expect Medicare will deny a claim that does not meet medical necessity criteria and whether you have or do not have an advanced beneficiary notice (ABN) signed by the beneficiary.
Modified: 7/6/2018
This article provides information regarding unsolicited/voluntary refunds; that is, monies received by Medicare not related to an open account receivable.
Modified: 7/2/2018
The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 3.500 percent is in effect through December 18, 2018. [Publication 100-04, Chapter 1, Section 80.2.2]
Modified: 6/27/2018
This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.
Modified: 6/27/2018
This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.
Modified: 6/27/2018
All Medicare physicians, providers, and suppliers who offer services and supplies to qualified Medicare beneficiaries (QMB) may not bill QMBs for Medicare cost-sharing. This article was revised June 26 to clarify the description of the QMB program. It also adds that starting July 2018 the Medicare summary notice is another way for providers to verify the QMB status of beneficiaries for Medicare fee-for-service (FFS) claims. All other information remains the same. [SE1128]
Modified: 6/25/2018
Change request 10583 provides information regarding reject information when requirements for modifier GT are not met; modifier GT is only allowed on institutional claims billed by a critical access hospital method II. This article was revised June 21 to reflect a revised change request (CR) 10583 issued June 20. In the article, the criteria that allow the GT modifier to be present on Method II CAH claim lines are revised. Also, the CR release date, transmittal number, and the Web address of the CR are revised. [MM10583]
Modified: 6/4/2018
The Centers for Medicare & Medicaid Services (CMS) recently issued the 2018 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM10405]
Modified: 12/26/2017
The Centers for Medicare & Medicaid Services (CMS) recently issued the 2016 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM9410]
Modified: 12/24/2017
The Centers for Medicare & Medicaid Services (CMS) recently issued the 2017 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM9902]
First Coast Service Options (First Coast) 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.
Part A