Billing / coding FAQs

How to improve billing

First Coast offers providers resources they need to bill Medicare correctly; the first time. These self-audit resources have been designed to help you improve your Medicare billing efficiency and accuracy.

• Develop and implement a compliance program

• CBR: Access the comparative data that Medicare considers when determining how a provider’s billing patterns contrast with others within the same peer group. CBRs are available by request.

  How to submit a request for a CBR Part A | Part B

• Provider data summary reports (PDS): Identify negative billing patterns before they become troublesome trends with this detailed analytical report. Available for Part A and Part B providers, through SPOT. Details of this feature are available under the Claims section of the SPOT User Guide.
• Evaluation and management worksheet: Use the E/M interactive worksheet as a helpful checklist or an interactive tool to help you identify the code that best reflects the level of E/M services performed. Complete the online form, and the worksheet will automatically calculate a suggested E/M code based on your entries and your preferred set of E/M guidelines.

Electronic submission

Learn how to electronically submit your claims, medical records, and other correspondence.

Part A | Part B