Clinical trials background
Medicare covers the routine costs of qualifying clinical trials, as such costs are defined in National Coverage Determination...
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UB-04 billing information
The Official UB-04 Data Specifications Manual 2025, copyrighted by the American Hospital Association, is the only official...
Unsolicited / voluntary refunds notification for calendar year (CY) 2024
View this notification regarding unsolicited / voluntary refunds.
Avoid the wait: submit electronically
Are you sending hardcopy mail to submit your requests to First Coast? Avoid the wait. There are faster and easier ways to send...
Multi-jurisdictional contractor advisory committee (CAC) meeting
CAC meetings are for the purpose of discussing literature related to proposed LCDs before they are developed. CAC meetings are...
YouTube video: Avoid Medicare claim rejects that should be submitted to a Medicare Advantage plan
Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.
New coversheet for hardcopy UB-04 submissions
This article describes First Coast’s new coversheet for hardcopy UB-04 form submissions.
Returned to provider claims affect timely filing
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims...
Returned or rejected as unprocessable claims affect timely filing
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims...
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...