Claims

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Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims

Please review the revised Other HCPCS codes list.

Fast facts: Skilled nursing facility (SNF) helpful hints

Read this article for helpful hints for SNF claim reviews by CERT.

Fast facts: Skilled nursing facility (SNF) helpful hints

Read this article for helpful hints for SNF claim reviews by CERT.

Reimbursement guidelines for radiopharmaceutical procedure codes -- Avoid rejected claims

We created this article to educate on billing certain contractor-priced codes, including radiopharmaceuticals. Code list was last update January 14.

Current processing issues for Part A and Part B

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

Current processing issues for Part A and Part B

This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.

Tips to prevent reason code 326x4

Review this article if your claim is returning for reason code 326x4.

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…

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…

Tools & forms: Claims

Use these self-service tools and forms related to claims.