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Billing news

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Modified: 12/4/2018
Submitted in response to common billing issue relating to improper or insufficient documentation for tetanus vaccinations
Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus vaccinations.
Modified: 11/30/2018
Please review this article if you submit Medicare Part B paper claim forms. First Coast is implementing instructions from CMS that will impact how many claim lines you are able to submit.
Modified: 11/16/2018
Most services billed to Medicare must reflect the exact date the service was performed for or provided to the patient. This article discusses situations where there have been questions from the provider community.
Modified: 11/7/2018
Change request (CR) 10611 informs Medicare administrative contractors and providers of the new MCR e-filing (MCRef) system, which is controlled by the EIDM system and available for electronic transmission of cost reports. This article was revised November 6 to reflect revisions to CR 10611, issued October 24 and November 2. The article was revised to extend the Medicare administrative contractor portals to be open until January 2, 2019, instead of July 2, 2018. As a result of the revision to the article, providers that wish to electronically submit their MCR must do so using MCReF on or after January 2, 2019, instead of the original date of July 2, 2018. As a result of the November 2 CR revision, an incorrect web address for new user registration is corrected. In addition, the CR release date, transmittal number, and the web address for CR 10611 are also revised. [MM10611]
Modified: 11/6/2018
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: 10/19/2018
This information outlines the process for the 935 recoupment.
Modified: 10/4/2018
This article provides information regarding unsolicited/voluntary refunds; that is, monies received by Medicare not related to an open account receivable.
Modified: 10/3/2018
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: 7/17/2018
To correct claims returned for beneficiary name and number mismatch, take the following action. [CR 7260]
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: 6/4/2018
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 B