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This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. For the most comprehensive experience, we encourage you to visit Medicare.gov or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
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Billing news

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Did you know you can check claim status and find eligibility and benefits data online?
Modified: 9/28/2021
Effective October 1, First Coast will reject claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this new reason code.
Effective October 1, First Coast will reject claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this new reason code.
Modified: 9/28/2021
This article will assist Medicare Part A providers with proper billing relating to COVID-19 vaccine and monoclonal antibody infusion. Beneficiary coinsurance and deductible are waived.
Modified: 9/22/2021
Review this article for guidance on billing the home administration code M0201 when administering the COVID-19 vaccine.
Modified: 9/20/2021
Last year, we implemented new P.O. Box addresses for mailing correspondence to First Coast. Make sure you are mailing to our current addresses as we’re no longer forwarding mail received at the old addresses. Visit our website for the new addresses.
Modified: 9/20/2021
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options available for you.
Modified: 9/13/2021
Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.
Modified: 8/16/2021
Effective for dates of service (DOS) on/after August 7, 2019, Medicare will pay claims from approved providers for administration of autologous T-cells expressing at least one CAR for the treatment for cancer using administration HCPCS code 0540T. [MM12177]
Modified: 8/6/2021
Please review this reminder for billing the new condition codes (CCs) 90 and 91 issued by CMS under MM12049. First Coast revised this article to correctly reflect the effective date as claims received on or after February 1, 2021.
Modified: 8/6/2021
This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.
Modified: 7/18/2021
This information outlines the process for the 935 recoupment.
Modified: 7/18/2021
To determine if a claim was medically reviewed, providers should look at certain fields on the claim screen. [Provider Outreach and Education]
Modified: 7/2/2021
Review our series on billing alerts for the COVID-19 related services. This article was modified March 31 to address insurance verification for original Medicare and Medicare Advantage beneficiaries.
Modified: 6/29/2021
View this article on billing for the drug Romidepsin for dates of service on or after July 1.
Modified: 5/22/2021
This article provides information regarding unsolicited/voluntary refunds; that is, monies received by Medicare not related to an open account receivable.
Modified: 5/7/2021
Services designated as “inpatient only” are not appropriate to be furnished in a hospital outpatient department.
Modified: 4/1/2021
This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.
Modified: 3/14/2021
First Coast would like to ensure providers performing biopsy services understand how to properly bill and code for these procedures. Recent data indicates improper billing so we want to provide clarification of top issues we identified.
Modified: 3/10/2021
CMS has issued the 2021 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee-for-service program. [MM12024]
Modified: 3/4/2021
Modified: 2/11/2021
There are two options for providers to find information about a beneficiary’s deductible.
Modified: 12/15/2020
Transmittal 10486, dated November 19, 2020, is being rescinded and replaced by transmittal 10520, dated December 14, 2020, to revise the implementation date from December 14, 2020, to December 21, 2020. All other information remains the same. [CR11642]
Modified: 11/14/2020
The Centers for Medicare & Medicaid Services (CMS) issued the 2019 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM11025]
Modified: 11/14/2020
Medicare claims processing systems will accept HCPCS code U0001 on April 1, 2020, for dates of service on or after February 4, 2020.
Modified: 11/4/2020
The Centers for Medicare & Medicaid Services (CMS) has issued the 2020 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee-for-service program. [MM11542]
Modified: 10/28/2020
The Centers for Medicare & Medicaid Services (CMS) recently issued the 2019 deductibles, coinsurance, and premium rates for beneficiaries covered through the Medicare fee for service program. [MM11025]
Modified: 9/25/2020
The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 1.125 percent is in effect July through December 2020. [Publication 100-04, Chapter 1, Section 80.2.2]
Modified: 9/9/2020
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.
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