Cardiology: Avoid denials and appeals -- new dual diagnosis requirements for cardiovascular stress test procedures
First Coast is receiving several appeals of cardiovascular stress test claims that now require dual diagnoses. Please review...
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Clerical reopening requests
Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.
Avoid claim denials: Bill drug wastage correctly using the JW modifier
First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for drug wastage not reported...
Save valuable time: Avoid having to file an appeal for HBO services
First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for hyperbaric oxygen therapy...
Good cause for extension of the time limit for filing appeals
The time limit for filing a request for redetermination may be extended in certain situations. Good cause may be found when the...
Appealing new patient denials
Learn how to submit an appeal for evaluation and management services denials because the new patient did not meet new patient...
What you should do with claims returned as unprocessable
Claims that are returned as unprocessable cannot be appealed. So what do you do with them? An unprocessable claim is one that is...
Tutorial: Change of practice address for Part B group / organization providers (Using CMS-855B)
Check out our step-by-step instructions on changing your practice address.
Provider enrollment effective dates
Review this article for information on provider enrollment effective dates.