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Duplicate claim denials continue to be one of the top billing errors. Duplicate submission of Medicare claims causes an increase in cost, valuable time, and resources for you, as well as First Coast.
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.
Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.
Pass-through status is determined for newly FDA-approved drug and device products on an individual basis. Review this article for more details on pass-through devices in an ambulatory surgical center (ASC).
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.
Read this article for information on mammography coverage and certification of mammography facilities.
Important information you must know if you bill for pharmacogenomics testing.
The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers should be billed.
CARC 22 - This care may be covered by another payer per coordination of benefits. This denial was received because Medicare records indicate that Medicare is the secondary payer.
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.