Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
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Allowing electronic submission of medically denied cancel claims, reason code 30941
To determine if a claim was medically reviewed, providers should submit the requests correctly.
Collaborative patient care is a provider partnership
Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services...
Complying with medical record documentation requirements
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and...
Drugs and biologicals
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related...
Reject reason code for Part A claims returned to a provider more than three times
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more...
Limitation on recoupment (935) process
This information outlines the process for the 935 recoupment.
Prolonged physician services: Office and other outpatient visits
Learn more about billing Medicare for prolonged office and other outpatient E/M services that exceed the maximum time by at...
PC-Print
Information on the free software provided by CMS for viewing and printing electronic remittance advice (ERA).
Compliance matters: Third-party vendors, outsourced agencies, and you
Third-party vendors have an obligation to maintain Medicare compliance. See this article for detailed requirements.