Part B

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Provider Enrollment, Chain and Ownership System (PECOS)

Positron emission tomography (PET) for oncologic conditions: Modifier usage

The appeals department is receiving appeals regarding the incorrect usage of modifiers associated with PET scans. Read this article to learn more about billing these services correctly.

Claims and appeals for CPT 93010 performed in emergency room setting

Please review this article regarding appeals received for CPT 93010 (electrocardiogram report) and the use of modifier 77.

Tips to prevent RUC CO 181

Read this article for tips on how to prevent RUC CO 181.

Claim submission & status

First Coast offers several options for claim submission and status. Submitting electronically saves time, reduces costs, and provides immediate confirmation of receipt. 

Claim submission & status

First Coast offers several options for claim submission and status. Submitting electronically saves time, reduces costs, and provides immediate confirmation of receipt. 

Appealing new patient denials

Learn how to submit an appeal for evaluation and management services denials because the new patient did not meet new patient qualifications.

Appeal tips: Documentation to include with your Part B redetermination request

Learn what documentation to include when submitting a Medicare Part B appeals request.

Limitation of recoupment process (Medicare Modernization Act [MMA] 935)

Read this article to learn more about the 935 recoupment process.

Limitation of recoupment process (Medicare Modernization Act [MMA] 935)

Read this article to learn more about the 935 recoupment process.