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Top claim denials and rejected as unprocessable
Did you know?
A claim adjustment reason code (CARC) and a group code on your remittance advice describes why a claim or service line was paid differently than it was billed and who is responsible for the adjusted amounts. Visit the Washington Publishing Company for a complete list of the CARC codes and group codes.
Please review the FAQs and other resources listed below to avoid common denials and claims rejected as unprocessable. Billing Medicare correctly the first time increases your cash flow while reducing provider burden.
Once a claim is processed, Medicare decides to either pay or deny. However, in some situations, a decision to pay or deny isn’t possible because the claim has billing errors. First Coast rejects these claims as unprocessable for you to correct and resubmit.
First Coast offers providers the opportunity to enhance their Medicare knowledge through instructor-led training (ILT) classes (e.g., webcasts, seminars) and web-based training (WBT).
Check our upcoming provider events calendar and learn how to register for free teleconferences and webcasts that will help you increase your knowledge of the Medicare program and find ways to improve Medicare billing and payment efficiency.
First Coast’s YouTube channel will navigate you through Medicare requirements, simplify your day-to-day processes, and improve your billing.
The Learning on Demand Center offers access to top requested educational videos, WBT, recordings, and tutorials. We invite you to browse these playlists and increase your Medicare knowledge.
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.