Billing the correct Medicare secondary payer insurance type code
Do you want to know how to avoid MSP claims payment delays and inappropriate denials?
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Billing for vein ablation services? Access our LCD guidelines
Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the...
Billing instructions for implanted prosthetic devices with HCPCS code C9899: Reason code 32354
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.
Medicare & Veteran Affairs: Adjustments for duplicate claims
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate...
Behavioral health services
Medicare covers behavioral, mental and psychiatric health services that may improve outcomes for Medicare patients. For more...
Potential assignment violations by clinical laboratories
Some clinical laboratories in our jurisdiction are charging patients prior to performing services, a potential assignment...
New high-cost cell-based gene therapy drug Encelto approved for use in the ambulatory surgical center (ASC) setting
Medicare approved the groundbreaking new cell-based gene therapy drug, Encelto, for use in the ambulatory surgical center...
Dental services coverage
If you’re a new or seasoned provider billing dental services to fee-for-service (FFS) Medicare, or original Medicare, this...
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims...
Quick reference chart for billing Medicare secondary payer (MSP) claims
Use this article as a quick reference for billing claims where Medicare is the secondary payer.