Claims
Avoiding hospice claim rejects
Determine if a patient is enrolled in hospice before billing Medicare. This article has tips on checking patient eligibility and avoiding hospice claim rejects.
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…
Automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part A
For Part A providers with multiple facility PTANs linked to a single NPI, learn about our automated process to match the most appropriate PTAN to your NPI.
Indicating an anti-markup diagnostic service on a claim
Question and answer regarding the indication of an anti-markup diagnostic service on a claim.
Inpatient psychiatric hospital benefit days
Medicare provides a lifetime limit of 190 days of inpatient psychiatric hospital care for each beneficiary. Once all 190 days have been used, Medicare will not provide additional coverage for…
Important instructions for paper claim form CMS-1500 (version 02/12)
This article addresses important submission instructions for Optical Character Recognition (OCR) processing.
Outpatient Prospective Payment System (OPPS) addendums updates A, B, D1, and E
Review to find quarterly updates related to OPPS and I/OCE and review accessing the addendums* listed below.