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When to file an appeal

August 23, 2025

Reopening Gateway

October 16, 2025

IVR touch-tone converter

October 16, 2025

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

December 23, 2025
Learn what documentation to include when submitting a Medicare Part B appeals request.

Positron emission tomography (PET) for oncologic conditions: Modifier usage

December 23, 2025
The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this article to learn more about billing these services correctly.

Claims and appeals for CPT 93010 performed in emergency room setting

December 23, 2025
Please review this article regarding appeals received for CPT 93010 (electrocardiogram report) and the use of modifier 77.

Good cause for extension of the time limit for filing appeals

December 23, 2025
The time limit for filing a request for redetermination may be extended in certain situations. Good cause may be found when the record clearly shows, or the provider, physician or other supplier alleges and the record does not negate, that…

Inpatient SNF services: Common denials and how to avoid them

December 23, 2025
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)

December 23, 2025
Read this article to learn more about the 935 recoupment process.

Save valuable time: Avoid having to file an appeal for HBO services

December 23, 2025
First Coast wants you to prevent claim denials or unfavorable redetermination appeal decisions for hyperbaric oxygen therapy (HBO) services. Read to learn more about Medicare coverage guidance so you can document and submit HBO services cor…
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