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Learn how to submit a provider enrollment appeal in the form of a corrective action plan or reconsideration request.
The requirements for the submission of claims under reciprocal billing and fee-for-time compensation arrangements are the same for assigned and non-assigned claims. This article shows when these requirements apply.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2023 (revised).
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
Here is a listing of the counties comprising each payment locality in Florida.
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…
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…
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…
Review this checklist to learn about the documentation requirements for medical professionals related to the repetitive, scheduled, non-emergency prior authorization program.