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…
Providers may be billing these services incorrectly. Please review this article and pay close attention to the billing loop and segment information detailed within. The NCT number has been added to the instructions.
If you’re a new or seasoned provider billing dental services to fee-for-service (FFS) Medicare, or original Medicare, this article guides you through recently clarified payment provisions for dental services in 2023, the provider enrollment…
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…
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this reason code.