Articles

Review the top denial / partial denial reasons and high-level results listed below from each round of JN ESRD TPE reviews.

Physician certification statements (PCS) are required for patients who are under the direct care of a physician and are required...

Learn how PWK, the paperwork segment of the X12N version 5010, allows providers to submit medical documentation with their...

Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your...

Hospital outpatient departments that qualify for an exempt status effective January 1, need to have at least 10 claims submitted...

Learn how to complete the the prior authorization request (PAR) coversheet for repetitive scheduled non-emergency ambulance...

Are you using regular mail for submissions to First Coast? We have several electronic options that are easier and faster for you...

View targeted probe and educate (TPE) results - drugs and biologicals (HCPCS J0897).

This checklist is intended to provide health care providers with a reference to use when responding to medical documentation...

The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the...