Guidelines for billing acute inpatient noncovered days
This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered...
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)
This article addresses important submission instructions for Optical Character Recognition (OCR) processing.
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.
Skilled nursing facilities (SNF) January 1 revalidation deadline indefinitely suspended
Read for information regarding SNF revalidation deadline suspension.
When not to show patient paid amounts on claims
First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article...
Skilled nursing facilities (SNFs): Provider enrollment guidelines
Read this article for new guidelines for skilled nursing facilities (SNFs). Revalidation due date has been extended indefinitely...
Conditional payment requests for MSP claims
Providers may file a Medicare secondary payer (MSP) claim and request a conditional payment for a Medicare-covered service when...