New provider roadmap: Appeals
An appeal is a new and independent review of an initial determination of a claim.
Step 1: Determine whether you are submitting a
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Cardiology: Avoid denials and appeals -- new dual diagnosis requirements for cardiovascular stress test procedures
First Coast is receiving several appeals of cardiovascular stress test claims that now require dual diagnoses. Please review...
Overpayment request submission reminders
Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders...
Submit Part B financial documentation requests electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your...
Appeals status lookup tool: Part A help guide
This help document guides you through using the appeals status lookup tool on First Coast's Medicare provider website.
What you should do with claims returned as unprocessable
Claims that are returned as unprocessable cannot be appealed. So what do you do with them? An unprocessable claim is one that is...
Part A claim reopenings beyond timely filing limit process changes
Learn how to request a reopening of your Part A claim that is past the 12-month timely filing provision.
Appeal reminder for medically unlikely edits (MUEs)
We'd like to remind providers of medical documentation you'll need to submit when filing a redetermination or clerical error...
Submit Part A financial documentation requests electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your...