Claims

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.

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.

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…

For Part A providers with multiple facility PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.

Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.

For Part B providers with multiple billing PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.

This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First Coast to resolve an overlapping claim.

This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First Coast to resolve an overlapping claim.

First Coast is responsible to ensure compliance with the credit balance reporting process. The information provided below offers a brief explanation of how the CMS-838 credit balance reports should…

When billing for unlisted drug codes, include the name, strength, and dosage of the drug.