Claim submission guidelines

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…

Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.

Read this article for diagnosis coding guidelines on correctly billing malnutrition claims.

Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.

First Coast made changes to how we handle paper claims marked for "other insurance". Review this article to avoid claim rejections of this kind.

Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.

This article describes First Coast’s new coversheet for hardcopy UB-04 form submissions.

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…

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.

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.