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First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for drug wastage not reported. Read to learn more about Medicare coverage guidance so you can document and submit claims for drugs and reporting…
First Coast identified several errors when providers bill for genetic testing. Read this article to learn more about billing these services correctly.
These instructions will assist you in completing the SPOT Submitter ID Update Request Form FP167P (R2-23) - used for making changes to existing SPOT submitter IDs.
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CMS established the Comprehensive Error Rate Testing (CERT) program to monitor and report the accuracy of Medicare fee-for-service (FFS) payments. The CERT program measures the error rate for claims submitted to Medicare contractors. View t…
Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders for submitting overpayment requests to First Coast.
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…
View this special edition update on processing of telehealth and acute hospital care at home claims.
Trump administration issues request for information, guidance to expand access to real prices.