Claim submission guidelines

A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned or rejected as unprocessable have not been filed successfully.

This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.

This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.

Read this article to learn more about hospital off-campus outpatient department reporting requirements.

View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.

View these guidelines for a beneficiary who is incarcerated or in custody at the time items and services are furnished.

New section, Emergency department procedure codes for Method II CAH, added to the Medicare Claims Processing Manual Pub.100-04, chapter 4, section 250.18.

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…

View the current listing of ASC HCPCS codes no longer requiring a paper invoice.

The following article provides the requirements of the form locators within the CMS-1450 (UB-04) paper claim form and their electronic equivalents.