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The time limit for filing a request for redetermination may be extended in certain situations. Good cause may be found when the record clearly shows, or the provider, physician or other supplier alleges and the record does not negate, that…
This article describes First Coast’s new coversheet for hardcopy UB-04 form submissions.
Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.
CAC meetings are for the purpose of discussing literature related to proposed LCDs before they are developed. CAC meetings are open for the public to attend as observers. Read more information regarding the meeting format schedule, and regi…
The Official UB-04 Data Specifications Manual 2025, copyrighted by the American Hospital Association, is the only official source of UB-04 billing information adopted by the National Uniform Billing Committee (NUBC).
Medicare covers the routine costs of qualifying clinical trials, as such costs are defined in National Coverage Determination (NCD) 310.1, as well as reasonable and necessary items and services used to diagnose and treat complications arisi…
First Coast accepts information regarding new drugs, new or revised indications, or marketing materials for forthcoming drugs or medical devices. Read this article to find out how to submit this information.
Avoid negative impacts to your claims: Review policies on genetic testing for cardiovascular disease
View this important information you must know if you bill for genetic testing for cardiovascular disease, effective January 30.
First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about billing these services correctly.
This article clarifies longstanding policy concerning reimbursement for a Medicare bad debt while the account is at a collection agency.