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This article provides guidance for billing provider-liable acute inpatient non-covered and acute partial inpatient non-covered days, and acute inpatient non-covered beneficiary-liable days.
For Part B providers with multiple billing PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.
For Part A providers with multiple facility PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.
Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.
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…
This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First Coast to resolve an overlapping claim.
In this special edition article, CMS stresses the importance of staying informed of all CMS national inpatient hospital policy and national and local coverage determinations regarding making a clinical decision to admit a patient. The artic…
First Coast offers several online tools for you to diagnose why your Medicare claims were denied and resources to help you prevent future claims from such a fate. When a claim gets denied, with First Coast’s web tools you can solve many iss…
Payment for ambulatory surgical centers (ASCs) are made under a separate payment system. As such, certain modifiers are specific to ASCs. This article explores these modifiers.
Providers billing Medicare should determine if a patient is enrolled in hospice before billing Medicare Part A. This article has tips on checking patient eligibility and avoiding hospice claim rejects.