Claims

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New provider roadmap

View this new provider roadmap for guidance through the Medicare process.

Credit Balance Status tool instructions

View this document to learn more about the Credit Balance Status tool.

Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on file

Critical access hospitals (CAHs) professional claims line-item date of service (LIDOS) with revenue codes 096X, 097X and 098X are being denied (status D) for not having physician reassignments on…

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…

Returned to provider (RTP)

A claim on status T (RTP) was returned to provider for corrections. The assigned reason code will provide you instructions for the necessary corrections.

Tips to prevent RTP 30912

Read this article for tips on how to prevent RTP 30912.

Tips to prevent RTP 30949

Read this article for tips on how to prevent RTP 30949.

Institutional billing resources (Addendums A, B, D1 and E*)

To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.

Tips to prevent RUC CO 181

Read this article for tips on how to prevent RUC CO 181.

Claim submission & status

First Coast offers several options for claim submission and status. Submitting electronically saves time, reduces costs, and provides immediate confirmation of receipt.