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When to file an appeal

Reopening Gateway

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Inpatient SNF services: Common denials and how to avoid them

First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for inpatient SNF services.

Limitation of recoupment process (Medicare Modernization Act [MMA] 935)

Read this article to learn more about the 935 recoupment process.

Part A claim reopenings beyond timely filing limit process changes

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

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

Before you appeal a claim or request a redetermination

Before you request a redetermination on a denied claim, review these tips to avert delays in payment and save some valuable time.

Appeal tips: Documentation to include with your Part A redetermination request

Learn what documentation to include when submitting a Medicare Part A appeals request.

Cardiology: Avoid denials and appeals -- new dual diagnosis requirements for cardiovascular stress test procedures

First Coast is receiving several appeals of cardiovascular stress test claims that now require dual diagnoses. Please review this article for details on avoiding unnecessary denials and appeals by submitting the claim correctly the first ti…