Appeals

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Clerical reopening requests

Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.

Clerical reopening requests

Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.

Limitation of recoupment process (Medicare Modernization Act [MMA] 935)

Read this article to learn more about the 935 recoupment process.

Limitation of recoupment process (Medicare Modernization Act [MMA] 935)

Read this article to learn more about the 935 recoupment process.

New Part A Medicare redetermination and clerical error reopening request form available now

Make sure to access our new and improved form which simplifies the submission of your Part A redeterminations.

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.

Appealing new patient denials

Learn how to submit an appeal for evaluation and management services denials because the new patient did not meet new patient qualifications.

New Part B Medicare redetermination and clerical error reopening request form

Make sure to access our new and improved form to submit for your Part B redeterminations.

Appeal tips: Documentation to include with your Part B redetermination request

Learn what documentation to include when submitting a Medicare Part B appeals request.

Save valuable time: Avoid having to file an appeal for HBO services

First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for hyperbaric oxygen therapy (HBO) services. Read to learn more about Medicare coverage guidance so you…