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View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related policy information, IOMs, and resources.
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and supportive medical record documentation.
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…
CMS has implemented the prior authorization program for certain repetitive, scheduled non-emergent ambulance transports in Florida, Puerto Rico and the US Virgin Islands. Learn more about the program and how you can participate.
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.
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…
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…