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First Coast is able to accept Part B dental claims in the 837D electronic claims format. These files may be submitted by dental providers or billing services and clearinghouses after being enrolled for 837D and passing the 837D test file re…
Are you participating in prior authorization and want to know how to maintain exemption within this program? Do you have questions regarding the different timeframes and dates relating to the deadlines and requirements associated with prior…
View the provider enrollment section of our roadmap for new providers.
CMS covers the implantation of central nervous system stimulators as a therapy for the relief of chronic intractable pain.
First Coast has seen an increase in claims for drugs, hemophilia clotting factors, and skin substitutes that exceed the dollar amounts above $99,999.99. Effective for claims received on or after November 6, claims missing the required infor…
A procedure can have other policies or guidelines besides an LCD. Search our website for additional information.
Step 1: Perform a standard search in the First Coast website.
When billing for unlisted drug codes, include the name, strength, and dosage of the drug.
Review this article to learn how to avoid an immediate return of an enrollment application.
Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.
Step 1: Choose your billing method
Hospital outpatient departments (OPDs) who demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization (PA) may be eligible for exemption. This exemption would remain in effect for a 12-month peri…