Returned to provider claims affect timely filing
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims...
Returned or rejected as unprocessable claims affect timely filing
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims...
Important instructions for paper claim form CMS-1500 (version 02/12)
First Coast has noticed an increase in errors on the CMS-1500 (02/12) claim form. This article addresses important instructions...
Activation of systematic validation edits for OPPS providers with multiple service locations
This article is for the activation of systemic edits for outpatient prospective payment system (OPPS) providers that have...
CMS-1500 (02/12) data element requirements
This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form...
2024 influenza, pneumococcal, and hepatitis B vaccine reimbursement
This article discusses payment information for pneumococcal and influenza virus vaccine administration.
First Coast’s E/M interactive worksheet updates: Verify your E/M code selection
Our E/M interactive worksheet has been upgraded to assist you with verifying proper code selection for office and “other” E/M...
Skilled nursing facilities (SNF) revalidation due January 1
For those SNFs that have not yet submitted their Form CMS-855A revalidation application or, as applicable, SNF Attachment, this...
Checking enrollment application status
Read the information below for assistance with checking enrollment application status.