Claim submission guidelines
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…
Mammography coverage and certification of mammography facilities
Read this article for information on mammography coverage and certification of mammography facilities.
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.
Coding guidelines: Part A inpatient billing for malnutrition diagnosis codes
Read this article for diagnosis coding guidelines on correctly billing malnutrition claims.
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.
Appropriate use of not otherwise classified 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…
Returned to provider claims affect timely filing
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned to the provider have not been filed successfully.
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.