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…
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.
Requesting a comparative billing report -- Part B providers
Complete review of the Retrieve Documents feature in SPOT.
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…
Preventive services: Coverage determination
Find information on local and national coverage determinations specific to preventive services.
Hepatitis B vaccination
Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or intermediate risk of contracting hepatitis B, which includes patients who…
Preventive services: Coverage determination
Find information on local and national coverage determinations specific to preventive services.
Hepatitis B vaccination
Payment for the hepatitis B vaccine and its administration is only available to Medicare beneficiaries who are at high or intermediate risk of contracting hepatitis B, which includes patients who…
Medicare & Veteran Affairs: Adjustments for duplicate claims
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…