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Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers RT, LT or 50, site levels, alternative c…
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options available for you to request a new LCD or an…
The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for anesthesia administered during selected spinal pain management (SPM) procedures that were at risk for noncompliance wi…
To avoid delays, carefully review your additional documentation request (ADR) letter to ensure you’re sending medical documentation to the correct address.
CMS has established specific criteria for determining the eligibility of physician and non-physician practitioners for enrollment in the Medicare program and reimbursement for services furnished to beneficiaries. Learn how to expedite the p…
Learn about the top errors First Coast has identified for Opioid Treatment Program (OTP) claims and how you can prevent the errors on your claims.
First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim and provides solutions when assignment is a…
First Coast has noticed an increase in errors on the CMS-1500 (02/12) claim form. This article addresses important instructions regarding completion of the paper claim form.
This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.
Learn more about billing Medicare for prolonged home or residence E/M services that exceed the maximum time by at least 15 minutes on the date of service.