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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…
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…
Continuing Education Units (CEU) certificates may be awarded for successful completion of First Coast’s educational events and will be maintained within our MyCEUCertificate Gateway for two years from the date of the event.
This charter outlines the focus and scope of First Coast Service Options’ (First Coast) Part A Provider Outreach and Education Advisory Group (POE-AG). The charter also defines POE-AG membership requirements, roles, and responsibilities.
First Coast provider outreach and education advisory groups meet at least three times per year. Meetings may be held online (e.g., webinar) or as a face-to-face event. This schedule lists the meetings planned for Florida, the U.S. Virgin Is…
Each year, First Coast invites members of the provider community to join the provider outreach and education advisory group for their geographic area. This document lists the members of Part A and Part B advisory groups for providers in Flo…
The Provider Outreach and Education team at First Coast welcomes you to Medicare. Providers are responsible for knowing and following the rules and regulations that apply to all services billed to Medicare under their provider number.
Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to endovenous radiofrequency ablation and laser treat…
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.