Overpayment request submission reminders
Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders...
Articles
Article Type
Category
Avoid claim denials: Bill drug wastage correctly using the JW modifier
First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for drug wastage not reported...
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...
Tutorial: Completing the Medicare Part A redetermination and clerical error reopening request form
Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.
Advance payment – Part B only
View this article for information about Part B advance payment submissions.
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.
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...
How to appeal a claim
First Coast offers multiple ways of appealing a claim denial. The most efficient way to do so is through First Coast’s portal...
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
...
Changes to amount in controversy (AIC) for appeals in 2026
The claims value in dispute must meet the threshold for obtaining an administrative law judge (ALJ) hearing and a judicial...