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First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this reason code.
This article will assist providers with proper billing relating to the Mpox vaccine and laboratory codes. This article was updated September 6 to advise providers to include the product code on claims.
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related policy information, IOMs, and resources.
The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the supervision of an individual meeting the…
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and supportive medical record documentation.
Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services is extremely important for the accurate and timely processing and payment of claims. Partnering with Medicare can…
We added a YouTube video on Medical Review best practices to prevent unnecessary “non-response” denials. Let us know what you think by selecting the Like button and don’t forget to subscribe to our YouTube channel. Thanks for watching!
First Coast is responsible to ensure compliance with the credit balance reporting process. The information provided below offers a brief explanation of how the CMS-838 credit balance reports should appear before either faxing to First Coast…