Claims

The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a single-dose containers. Read this article to understand how these modifiers…

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…

Read this article for information on mammography coverage and certification of mammography facilities.

Review the following questions and answers to gain an understanding of credit balance reporting.

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

First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim…

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 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…