Reject reason code for Part A claims returned to a provider more than three times
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more...
Articles
Article Type
Category
Limitation on recoupment (935) process
This information outlines the process for the 935 recoupment.
Physician ordering laboratory tests: Your vital role in submitting documentation
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior...
Avoid claim processing delays when billing tetanus vaccinations
Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus...
Part A inpatient date of service reporting and split billing
This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.
Learn how to determine when Medicare is the primary or secondary payer
This article includes a quick reference table that will help the billing staff of providers, physicians, and other suppliers...
MSP and conditional payment request claim filing guidelines
Please review this article for details on how to properly bill Medicare secondary payer (MSP) and conditional payment request...
Be sure you are billing correctly for biopsy services
First Coast would like to ensure providers performing biopsy services understand how to properly bill and code for these...
Appropriate drug billing for Prolia (denosumab) injections, J0897
View this important information you must know when billing for Prolia (denosumab) injections, J0897.