New provider roadmap: Claims submission
Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.
Step 1: Choose your billing method
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Step 1: Choose your billing method
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...
Critical access hospital (CAH) method II professional reassignment deadline is January 1
Beginning January 2, 2026, CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment...
Tips to prevent reason code 326x4
Review this article if your claim is returning for reason code 326x4.
Critical access hospital (CAH) method II professional reassignments
CMS has issued new instructions concerning the Fiscal Intermediary Shared System (FISS) reason codes 31006 and 31007 for Method...
Claim submission & status
First Coast offers several options for claim submission and status. Submitting electronically saves time, reduces costs, and...
Credit balance reporting
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
Submitting high dollar claims for single use vials
Read this article to learn more about submitting high dollar claims for single use vials.
Incorrect rejections for Medicare secondary payer (MSP) claims
An issue was identified regarding incorrect Medicare secondary payer (MSP) rejections related to billing and submission errors...
Top claim denials / rejects
Use the left menu find tips to avoid common denials and claims rejections. Billing Medicare correctly the first time increases...