Claim submission guidelines
Submitting claims when the dollar amount exceeds $99,999.99
First Coast has seen an increase in claims for drugs, hemophilia clotting factors, and skin substitutes that exceed the dollar amounts above $99,999.99. Effective for claims received on or after…
Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
Medically Unlikely Edits: Avoid denials and appeals by properly coding the first time
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
Institutional billing resources (Addendums A, B, D1 and E*)
To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.
Submitting high dollar claims for single use vials
Read this article to learn more about submitting high dollar claims for single use vials.
Submitting high dollar claims for single use vials
Read this article to learn more about submitting high dollar claims for single use vials.
Medicare Beneficiary Identifier - get it, use it
There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare.
Medicare Beneficiary Identifier - get it, use it
There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare.
Beneficiary-submitted claim filing instructions
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.
Appropriate drug billing Part B
Read this article to learn more about appropriately billing Part B drugs.