Claims
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…
Process for supplying invoice amount on certain HCPCS codes -- Avoid rejected claims
Please review the revised code lists for Radiopharmaceutical and Skin Substitutes.
Using web tools to handle top denied claims in your practice
First Coast offers several online tools for you to diagnose why your Medicare claims were denied and resources to help you prevent future claims from such a fate. When a claim gets denied, with First…
Temporarily deactivating reason codes 31006 and 31007 for CAH method II claims
Read this article for important information for method II CAH facilities receiving reason codes 31006 and 31007.
Credit Balance Status tool instructions
View this document to learn more about the Credit Balance Status tool.
Guidance on hospital inpatient admission decisions
In this special edition article, CMS stresses the importance of staying informed of all CMS national inpatient hospital policy and national and local coverage determinations regarding making a…