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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.

Clerical reopening requests

Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.

Clerical reopening requests

Avoid the appeals process by making minor claim corrections through a clerical reopening request for Part B claims.

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.

New Part A Medicare redetermination and clerical error reopening request form available now

Make sure to access our new and improved form which simplifies the submission of your Part A redeterminations.