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Limitation on recoupment (935) process

This information outlines the process for the 935 recoupment.

Limitation on recoupment (935) process

This information outlines the process for the 935 recoupment.

Reject reason code for Part A claims returned to a provider more than three times

First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this reason code.

New automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part A

For Part A providers with multiple facility PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.

Providers billing for drug Octagam HCPCS code J1568

Did you know the leading reason why the Recovery Audit Contractor denies the drug Octagam during a medical review is for lack of documentation? Learn more about preventing unnecessary denials.

Reporting place of service (POS) codes

The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.

Reporting place of service (POS) codes

The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.

Modifier 57 fact sheet

To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 57.

Modifier 24 fact sheet

To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 24.

New automated process for multiple PTAN matches to single NPI will reduce claim processing delays: Part B

For Part B providers with multiple billing PTANs linked to a single NPI, learn about our new automated process to match the most appropriate PTAN to your NPI.