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First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim and provides solutions when assignment is a…
Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.
Read this article to learn more about submitting high dollar claims for single use vials.
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.
Breaking news for critical access hospitals (CAHs): CMS has directed MACs to immediately turn off reason codes 31006 and 31007 to give providers time to submit all method II reassignments to their Part A CAHs promptly. Read further to learn…
CAH Part A Method II claims for professional services will return to provider (RTP) if a reassignment isn’t in PECOS. Watch the on-demand learning video, "CAHs Method II Professional Reassignments," for instructions to add reassignments.
To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.
Is your facility receiving denials for a claim overlapping a skilled nursing facility (SNF) stay? Claims overlapping with a skilled nursing facility (SNF) stay can occur for several reasons. This article is intended to assist providers with…
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.
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.