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Processing Issues

Modified: 11/3/2020
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 11/3/2020
Due to a FISS error, First Coast has identified claims that must be adjusted because the claims did not process through local editing. This article explains the adjustment process and what provider actions are required.
Modified: 10/7/2020
CMS has updated coverage conditions for TAVR for treatment of symptomatic aortic valve stenosis with CED, effective June 21, 2019. When brought to our attention, First Coast will override medical policy edits to allow for processing and payment of these services. [CR 11660]
Modified: 9/23/2020
Due to the COVID-19 public health emergency, CMS added CPT codes 99441-99443 to the list of Part B covered telehealth services under waiver. When furnished to a beneficiary in a SNF, these claims denied in error due to consolidated billing and will be reprocessed.
Modified: 9/11/2020
First Coast will allow claims submitted with specific ‘Z’ diagnosis codes under the COVID-19 Public Health Emergency.
Modified: 1/9/2019
There are no items in this section at this time.
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.