Claim submission guidelines
Hospital off-campus outpatient department reporting requirements
Read this article to learn more about hospital off-campus outpatient department reporting requirements.
Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims
The supply codes list has been updated.
Drugs and biologicals Part B: Using the JW and JZ modifiers
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers…
Providers billing for drug Octagam HCPCS code J1568
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.
Reminder on mandatory Medicare claim submission requirements
Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.
Prevent errors on your OTP claims
Learn about the top errors First Coast has identified for Opioid Treatment Program (OTP) claims and how you can prevent the errors on your claims.
Prevent errors on your OTP claims
Learn about the top errors First Coast has identified for Opioid Treatment Program (OTP) claims and how you can prevent the errors on your claims.
Tips to prevent reason code 326x4
Review this article if your claim is returning for reason code 326x4.
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific…
Important instructions for paper claim form CMS-1500 (version 02/12)
First Coast has noticed an increase in errors on the CMS-1500 (02/12) claim form. This article addresses important instructions regarding completion of the paper claim form.