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Recommendations regarding the development of a model compliance plan for clinical laboratories

December 23, 2025
The Office of the Inspector General (OIG) and other federal agencies have emphasized the importance of voluntarily developed and implemented compliance plans. The OIG has supplied guidance as to the elements of a model compliance plan.

Claim submission & status

December 23, 2025
First Coast offers several options for claim submission and status. Submitting electronically saves time, reduces costs, and provides immediate confirmation of receipt. 

Credit balance reporting

December 23, 2025
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.

Qualifying stay edit C7123

December 23, 2025
Read this article to learn more about skilled nursing facility (SNF) qualifying stay edit C7123.

Skilled nursing facility (SNF) demand bill

December 23, 2025
Read this article to learn more about skilled nursing facility (SNF) demand billing.

Medicare Beneficiary Identifier - get it, use it

December 23, 2025
There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare.

Part A claim reopenings beyond timely filing limit process changes

December 23, 2025
Learn how to request a reopening of your Part A claim that is past the 12-month timely filing provision.

Appeals status lookup tool: Part A help guide

December 23, 2025
This help document guides you through using the appeals status lookup tool on First Coast's Medicare provider website.

How to complete CMS-838 credit balance reports

December 23, 2025
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…

Claim Reopening: Request types and tips

December 23, 2025
View these request types and tips for claim reopenings.
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