ABILITY | PC-ACE ™:
Due to the Health Insurance Portability and Accountability Act (HIPAA), change request 9666, and electronic data interchange (EDI) front-end updates, the Centers for Medicare & Medicaid Services has implemented 5010 837P and 837I transaction edits, effective January 1, 2017. [CR 9666]
First Coast's claims department and providers are being negatively impacted by a high volume of invalid or unnecessary PWK fax/mail coversheets. This article reviews information on how you can avoid these issues. [CR 7330]
Medicare EDI Trading Partners are required to use a Network Service Vendor (NSV) for connectivity to the EDI Gateway
Effective March 2, 2015, all Medicare EDI Trading Partners submissions and retrievals are required to use a Network Service Vendor (NSV) for connectivity to the EDI Gateway.
This article contains information about claims rejecting in error.
To improve claims processing and improve readability success rates with its optical character recognition (OCR) systems, First Coast Service Options Inc. (First Coast) has redesigned its PWK fax and mail cover forms for providers who submit unsolicited additional documentation with their claims.
First Coast Service Options Inc. (First Coast) has implemented the PWK (paperwork) segment of the X12N version 5010. This allows for submission of supporting documentation with a version 5010 electronic claim. [CR 7330]
The Centers for Medicare & Medicaid Services (CMS) updates the claim adjustment reason codes (CARC) and remittance advice remark codes (RARC) rule, which includes the claim adjustment group codes (CAGC). [MM9767]
Following the January meeting of the National Code Maintenance Committee, the Centers for Medicare & Medicaid Services (CMS) will update Medicare claim status category codes and claim status codes. [MM9769]
CMS releases remittance advice remark code, claims adjustment reason code, Medicare remit easy print and PC Print update
The Centers for Medicare & Medicaid Services recently informed Medicare administrative contractors about updates to the remittance advice remark code (RARC) and claim adjustment reason code (CARC) lists as well as an update to the Medicare remit easy print (MREP) and PC Print. [MM9774]
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.