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Duplicate claim denials continue to be one of the top billing errors. Duplicate submission of Medicare claims causes an increase in cost, valuable time, and resources for you, as well as First Coast.
This checklist is intended to provide health care providers with a reference for use when responding to additional documentation requests for critical care services.
CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA. This recovery effort is referred to as t…
Our Medicare Navigator Program is back with webinars focused on supporting providers to successfully navigate Medicare program requirements and submit complete, accurate transactions. Review our event calendar for the full listing of events…
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.
Read this article for information about CERT claim sampling and the review process.
Read this article to review some helpful information about the CERT program responding to additional documentation requests (ADRs).
If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly assess your patient’s cognitive function and develop a care plan. Use CPT code 99483 to bill for this service.
Read this third quarter edition of the Insider's Guide to learn more about CERT errors for ambulance, chiropractic, and drugs and biological claim reviews.
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time by at least 15 minutes on the date of service.