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Learn about the top errors First Coast has identified for Opioid Treatment Program (OTP) claims and how you can prevent the errors on your claims.
A claim must be submitted to Medicare no later than one year after the date of service to be considered filed timely. Claims returned to the provider have not been filed successfully.
First Coast is responsible to ensure compliance with the credit balance reporting process. The information provided below offers a brief explanation of how the CMS-838 credit balance reports should appear before either faxing to First Coast…
Physicians who certify patient eligibility for hospice services must enroll in Medicare or opt out effective for claims submitted on October 7, 2024 and after with dates of service June 3, 2024 or later.
This job aid was prepared by the Part A/B and home health and hospice (HHH) MAC collaboration team to help providers that experience claim rejections for overlapping dates of service.
Ambulance modifiers identify the place of origin and destination of the ambulance trip and must be included on all ambulance claims.
Reduce the time it takes to answer your Medicare question by viewing common Part A inquiries received by customer service.
To bill correctly under the Outpatient Prospective Payment System (OPPS), please review the addendums* listed below.
Read this article for tips on how to prevent reject reason code U5233.
Read this article for tips to prevent claim adjustment reason code (CARC)s 54NCD or 53NCD.