Claim Reopening Gateway - Help Guide
Welcome to the First Coast Claim Reopening Gateway Help Guide. The Claim Reopening Gateway is an interactive tool that requires...
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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...
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.
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.
Before you appeal a claim or request a redetermination
Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time...
Appeal tips: Documentation to include with your Part B redetermination request
Learn what documentation to include when submitting a Medicare Part B appeals request.
How to complete the Medicare reconsideration request form (CMS-20033)
Find the appropriate forms to appeal claim decisions.
Appeal tips: Documentation to include with your Part A redetermination request
Learn what documentation to include when submitting a Medicare Part A appeals request.
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.