Medicare-Medicaid crossover bad debt accounting classification
CMS has issued guidance on Medicare’s longstanding policy on Medicare-Medicaid bad debts claimed on a cost report for dual...
Cost report appeals
This identifies who has appeal rights, the types of appeals, and filing requirements.
Positron emission tomography (PET) for oncologic conditions: Modifier usage
The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this...
Appeal reminder for medically unlikely edits (MUEs)
We'd like to remind providers of medical documentation you'll need to submit when filing a redetermination or clerical error...
Tutorial: Completing the Medicare Part A redetermination and clerical error reopening request form
Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.
Limitation of recoupment process (Medicare Modernization Act [MMA] 935)
Read this article to learn more about the 935 recoupment process.
Submit Part B financial documentation requests electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your...
Submit Part A financial documentation requests electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your...
Inpatient SNF services: Common denials and how to avoid them
First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for inpatient SNF services.
Submit Part B appeals and claim corrections electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your...