Part B

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Medical documentation checklists

Use these checklists to ensure you have met medical documentation requirements based on specific services.

SPOT Appeal features

Learn what appeal functions can be completed in the SPOT online portal.

Checklist: Cardiac defibrillator implant w/o cardiac cath

This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac defibrillator implant w/o cardiac cath (DRG 226 and 227) services.

SPOT Appeal features

Learn what appeal functions can be completed in the SPOT online portal.

Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program

This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.

Prohibition on billing dually eligible individuals enrolled in the Qualified Medicare Beneficiary (QMB) program

This article provides guidance to avoid inappropriately billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing, including deductibles, coinsurance, and copayments.

Submit Part B financial documentation requests electronically

Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…

Checklist: Therapeutic radiation-radiology services documentation

This checklist is intended to provide healthcare providers with a reference for use when responding to medical documentation requests for therapeutic radiation services.

Tutorial: Completing the Medicare Part B redetermination request form

Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.

Electronic Billing Newsletter: Library index

View the most recent release of our Electronic Billing Newsletter. This newsletter is published quarterly and includes important EDI-related articles.