Appeals
Tutorial: Completing the Medicare Part B redetermination and clerical error reopening request form
Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.
Claims and appeals for CPT 93010 performed in emergency room setting
Please review this article regarding appeals received for CPT 93010 (electrocardiogram report) and the use of modifier 77.
Positron emission tomography (PET) for oncologic conditions: Modifier usage
The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this article to learn more about billing these services correctly.
New provider roadmap: Appeals
An appeal is a new and independent review of an initial determination of a claim.
Clerical reopening requests
Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.
New provider roadmap: Appeals
An appeal is a new and independent review of an initial determination of a claim.
Clerical reopening requests
Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.
Inpatient SNF services: Common denials and how to avoid them
First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for inpatient SNF services.