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How to complete CMS-838 credit balance reports

First Coast is responsible to ensure compliance with the credit balance reporting process. The information provided below offers a brief explanation of how the CMS-838 credit balance reports should…

Billing unlisted drug procedure codes J3490 and J9999

When billing for unlisted drug codes, include the name, strength, and dosage of the drug.

Common definitions for claim submission types

See common definitions for claim submission types that may impact your billing.

YouTube video: Answers to your prior authorization exemption questions

Are you participating in prior authorization and want to know how to maintain exemption within this program? Do you have questions regarding the different timeframes and dates relating to the…

YouTube video: Answers to your prior authorization exemption questions

Are you participating in prior authorization and want to know how to maintain exemption within this program? Do you have questions regarding the different timeframes and dates relating to the…

Electronic dental claims (837D)

First Coast is now 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…

2022 payment rates for home infusion therapy (HIT) services

This article contains the allowances for home infusion therapy services for service dates January 1 through December 31, 2022.

2022 payment rates for opioid treatment program (OTP)

This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2022.

2022 payment rates for opioid treatment program (OTP)

This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2022.

ZIP codes requiring a nine-digit ZIP code (ZIP +4)

To access a file containing the quarterly additions and deletions to the list of ZIP codes requiring a plus four extension, refer to this link to the CMS website.