Part B
Targeted probe and educate (TPE) round results: Evaluation and management services – initial and subsequent inpatient care visits
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.
Electronic dental claims (837D)
First Coast is able to accept Part B dental claims in the 837D electronic claims format. These files may be submitted by dental providers or billing services and clearinghouses after being enrolled…
Ophthalmology
Information pertaining to ophthalmology services, including links to LCDs/NCDs, education, CMS IOMs, and other resources.
CERT awareness month: Steps to take if you get a CERT documentation request
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
Reporting the national drug code
Read this article for helpful information to report the national drug code on claims.
CERT awareness month: Steps to take if you get a CERT documentation request
Read this article to learn more about the CERT awareness month campaign focusing on responding to CERT documentation requests.
Telehealth enrollment scenarios
During the COVID-19 public health emergency (PHE), CMS allowed providers to render telehealth services from their home without reporting their home address on their Medicare enrollment while…
Form 480.6A -- "Informativa de Ingreso"
As a MAC, First Coast does not provide the "Informativa de Ingreso 480.6A" or an equivalent document disclosing the provider's annual reimbursement to providers in Puerto Rico or the U.S. Virgin…
Independent diagnostic testing facility
Information for independent diagnostic testing facilities, including links to NCDs, education, provider enrollment, CMS IOMs, and other resources.
Ophthalmology
Information pertaining to ophthalmology services, including links to LCDs/NCDs, education, CMS IOMs, and other resources.