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Effective December 9, both the standard and expedited PAR coversheets are updated with new fields to improve the prior authorization request (PAR) process. These fields include selection of modifiers RT, LT or 50, site levels, alternative c…
Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.
First Coast has created a new standard roster billing form for COVID-19 vaccinations and monoclonal antibody infusion. This article provides information for billing the vaccine, infusion, and administration codes.
Providers may file a Medicare secondary payer (MSP) claim and request a conditional payment for a Medicare-covered service when another payer is responsible for payment and is not expected to pay promptly (i.e., within 120 days). This artic…
Effective January 1, 2024, IOP services are available for both individuals with mental health conditions and individuals with substance use disorders. This article addresses institutional billing requirements for these new services.
This information outlines the process for the 935 recoupment.
Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding coverage of driveline kits and to avoid delays when billing VAD supplies.
Are you sending hardcopy mail to submit your requests to First Coast? Avoid the wait. There are faster and easier ways to send your requests to us. Learn about the electronic options available for you.
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.
Read the following article for the most common billing requirements for end-stage renal disease related services.