ABILITY | PC-ACE ™:
First Coast's claims department and providers are negatively impacted by invalid or unnecessary PWK fax/mail coversheets. This article reviews information on how you can avoid these issues.
CMS releases remittance advice remark code, claims adjustment reason code, Medicare Remit Easy Print and PC Print updates
The Centers for Medicare & Medicaid Services (CMS) recently released change request (CR) 10620, which updates the remittance advice remark code (RARC) and claim adjustment reason code (CARC) lists. CR 10620 also calls for an update to Medicare Remit Easy Print (MREP) and PC Print software. If you use MREP or PC Print software, be sure to obtain the latest version when available. [MM10620]
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). [MM10566]
Change request 10565 revises the identification code qualifier of the patient name segment of electronic claims and electronic remittance advice to reflect the Medicare identifier change from health insurance claim number. [MM10565]
Starting Sunday, May 6, 2018, new password rules will be in effect. Any changes to Direct Data Entry (DDE) user ID password must comply or the password will be rejected. DDE user ID password rules are changing to meet the Centers for Medicare & Medicaid Services requirements.
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 10124]
Affordable Care Act - Operating Rules - Requirements for Phase II and Phase III Compliance for Batch Processing
The Centers for Medicare & Medicaid Services (CMS) is in the process of implementing operating rules adopted under Section 1104 of the Affordable Care Act.
Due to the Health Insurance Portability and Accountability Act (HIPAA), change request 9881, and electronic data interchange (EDI) front-end updates, the Centers for Medicare & Medicaid Services has implemented 5010 837P and 837I transaction edits, effective July 1, 2017. [CR 9881]
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 (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.