Appeals
Appeal tips: Documentation to include with your Part A redetermination request
Learn what documentation to include when submitting a Medicare Part A appeals request.
Appeals status lookup tool: Part B help guide
This help document guides you through using the appeals status lookup tool on First Coast's Medicare provider website.
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.
Appeal tips: Documentation to include with your Part B redetermination request
Learn what documentation to include when submitting a Medicare Part B appeals request.
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.
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.
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.
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.