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This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form and the electronic equivalent elements.
You must determine if the services were provided during the covered period of the SNF Part A stay or after the benefits exhausted, since consolidated billing rules may or may not apply.
Read this article for diagnosis coding guidelines on correctly billing malnutrition claims.
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.
Review the following questions and answers to gain an understanding of credit balance reporting.
First Coast offers several options for claim submission and status. Submitting electronically saves time, reduces costs, and provides immediate confirmation of receipt.
Details on submitting the credit balance report, submission deadlines, and a tool to check credit balance status.
There are three ways to obtain the Medicare Beneficiary Identifier (MBI), which is effective when the beneficiary was or is eligible for Medicare.
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…
View this document to learn more about the Credit Balance Status tool.