Claim submission guidelines
Appropriate drug billing Part B
Read this article to learn more about appropriately billing Part B drugs.
Outpatient Prospective Payment System (OPPS) Addendums Updates A, B, D1, and E
Review to find quarterly updates related to OPPS and I/OCE and review accessing the addendums* listed below.
Process for Supplying Invoice Amount on Certain HCPCS Codes - Avoid Rejected Claims
The radiopharmaceutical codes list has been updated for code A9521.
Private Room Billing
This article provides guidance on billing medically necessary and non-medically necessary inpatient private room accommodations.
Appropriate use of not otherwise classified (NOC) codes
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC) codes must only be used when a more specific HCPCS or CPT code is not…
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…
CMS-1500 (02/12) data element requirements
This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form and the electronic equivalent elements.
YouTube video: Avoid Medicare claim rejects that should be submitted to a Medicare Advantage plan
Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.
YouTube video: Avoid Medicare claim rejects that should be submitted to a Medicare Advantage plan
Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.