Claim submission guidelines
Mammography coverage and certification of mammography facilities
Read this article for information on mammography coverage and certification of mammography facilities.
Appropriate drug billing Part A
Read this article to learn more about appropriately billing Part A drugs.
Drugs and biologicals Part A: 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…
Proper reporting of condition code G0
Hospitals should report condition code G0 (zero) on Part A claims when multiple medical evaluation and management (E/M) visits occur on the same day in the same revenue center, but the visits were…
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.
Reminder on mandatory Medicare claim submission requirements
Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.
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.
Avoid rejection of paper claims
First Coast made changes to how we handle paper claims marked for "other insurance". Review this article to avoid claim rejections of this kind.
New coversheet for hardcopy UB-04 submissions
This article describes First Coast’s new coversheet for hardcopy UB-04 form submissions.
Coding guidelines: Part A inpatient billing for malnutrition diagnosis codes
Read this article for diagnosis coding guidelines on correctly billing malnutrition claims.