Articles
Article Type
Category
CMS-1500 (02/12) paper claim form
Find information on where to obtain and how to complete the CMS-1500 claim form.
The SPOT User Guide: Section 1 - Introduction
First Coast’s Secure Provider Online Tool (SPOT)
First Coast developed its provider internet portal application - SPOT - to offer...
New provider roadmap: Electronic data interchange (EDI)
Improved cash flow, added security, and reduced administrative costs are just some of the advantages of electronic billing.
PWK option allows you to submit documentation with an initial claim
The PWK (paperwork) segment of the X12N version 5010 allows for submission of supporting documentation with a version 5010 837...
Ambulance physician certification statement
Physician certification statements (PCS) are required for patients who are under the direct care of a physician and are required...
Provider documentation tool for non-emergent ambulance transportation
This article is designed to assist medical providers with documenting the beneficiary’s medical condition supporting coverage...
RSNAT (repetitive scheduled non-emergent ambulance transportation) glossary tool
The following article provides a list of common terms used by the medical review department for prior authorization requests.
Facet joint interventions for pain management
Facet joint interventions may be used in pain management for chronic cervical/thoracic and lumbar/sacral pain arising from the...
Prior authorization: Facet joints and cervical fusion
CMS has removed CPT codes 64492 and 64495 from the listing of codes requiring prior authorization. View our article to learn...