Billing

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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.

Physician ordering laboratory tests: Your vital role in submitting documentation

Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.

Physician ordering laboratory tests: Your vital role in submitting documentation

Medical documentation from ordering physicians plays a vital role in validating medical necessity of ordered laboratory tests.

Be sure you are billing correctly for biopsy services

First Coast would like to ensure providers performing biopsy services understand how to properly bill and code for these procedures. Recent data indicates improper billing so we want to provide…

Be sure you are billing correctly for biopsy services

First Coast would like to ensure providers performing biopsy services understand how to properly bill and code for these procedures. Recent data indicates improper billing so we want to provide…

MSP and conditional payment request claim filing guidelines

Please review this article for details on how to properly bill Medicare secondary payer (MSP) and conditional payment request claims on 837 institutional claims, and the use of occurrence code (OC)…

Part A outpatient date of service reporting and split billing

This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.

Appropriate drug billing for Prolia (denosumab) injections, J0897

View this important information you must know when billing for Prolia (denosumab) injections, J0897.

Appropriate drug billing for Prolia (denosumab) injections, J0897

View this important information you must know when billing for Prolia (denosumab) injections, J0897.