Billing

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Notify First Coast if you file bankruptcy

First Coast will coordinate with both CMS, and the Department of Justice (DOJ), to assure that we handle your bankruptcy case properly.

MSP and conditional payment request claim filing guidelines

Please review this article for details on how to properly bill Medicare secondary payer (MSP) and conditional payment request claims on 837 institutional claims, and the use of occurrence code (OC)…

Ambulance billing guide

View this ambulance billing guide to learn about the Part A and Part B requirements for claims, billing, and more.

Ambulance billing guide

View this ambulance billing guide to learn about the Part A and Part B requirements for claims, billing, and more.

Correct reporting of MSP type on electronic claims

This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.

Requesting Medicare secondary payer conditional payments

Conditional payments are Medicare payments for Medicare covered services for which another insurer is primary payer, made under the condition they are subject to repayment if and when the primary…

Screening for Medicare secondary payer

Read this article for an example of questions to ask a patient to determine if Medicare is the primary claim payer.

Multiple procedure payment reduction on the professional component and technical component of certain diagnostic imaging procedures

The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the same session on the same day. Find out the details here.

Inpatient psychiatric facility (IPF) benefits exhaust

Inpatient psychiatric facility (IPF) benefits exhaust occurs when no benefit days remain in the beneficiary's applicable benefit period or when the beneficiary has exhausted the 190-day lifetime…

Roster billing for Part A

Institutional providers can use roster billing when administering the influenza, pneumococcal, or COVID-19 vaccines, or monoclonal antibody infusions to at least five patients on the same date,…