Avoid rejection of paper claims
First Coast made changes to how we handle paper claims marked for "other insurance". Review this article to avoid claim...
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Skilled Nursing Facilities (SNFs): Provider enrollment guidelines
Read this article for new guidelines for Skilled Nursing Facilities (SNFs). Updated to add extended due date for revalidations.
Skilled nursing facilities (SNF) revalidation due January 1
For those SNFs that have not yet submitted their Form CMS-855A revalidation application or, as applicable, SNF Attachment, this...
Duplicate reject/return to provider (RTP) reason code
Questions and answers regarding reasons for returned to provider (RTP) and rejected claims.
Returned to provider (RTP)
A claim on status T (RTP) was returned to provider for corrections. The assigned reason code will provide you instructions for...
Voluntary terminations
Read this article for instructions on how to terminate your Medicare enrollment.
CMS-1500 (02/12) data element requirements
This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form...
Drugs and biologicals Part A: Using the JW and JZ modifiers
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a single...
Drugs and biologicals Part B: Using the JW and JZ modifiers
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single...
Coding guidelines: Part A inpatient billing for malnutrition diagnosis codes
Read this article for diagnosis coding guidelines on correctly billing malnutrition claims.