Billing
Other codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the codes listed in this article.
Intensive outpatient program (IOP) billing requirements for institutional services
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing…
Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…
Requesting a comparative billing report -- Part A providers
Comparative billing report (CBR) information is available to providers and suppliers by request.
Revised coversheets are now available for PAR OPD submissions: Learn about the new fields to avoid delays
Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers…
Requesting a comparative billing report -- Part B providers
Complete review of the Retrieve Documents feature in SPOT.
Colorectal cancer (CRC) screening
Medicare Part B covers various colorectal cancer (CRC) screening tests furnished to individuals for the purpose of early detection of colon cancer. Learn more about these lifesaving preventive…
Roster billing for Part B providers
First Coast has created standard roster billing forms for COVID-19, monoclonal antibodies, flu, pneumococcal, and hepatitis B services. These forms are effective for all roster billing claims. Learn…
Immunization roster billing
Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Roster billers are able to bill…