Appeals

Displaying 21 - 30 of 48

Appeal tips: Documentation to include with your Part A redetermination request

Learn what documentation to include when submitting a Medicare Part A appeals request.

Appeals status lookup tool: Part B help guide

This help document guides you through using the appeals status lookup tool on First Coast's Medicare provider website.

Tools & forms: Appeals

Use these self-service tools and forms to appeal claim decisions.

Tools & forms: Appeals

Use these self-service tools and forms to appeal claim decisions.

Tools & forms: Overpayments

Find the appropriate forms to report or dispute an overpayment.

Tools & forms: Overpayments

Find the appropriate forms to report or dispute an overpayment.

Tutorial: Completing the Medicare Part B redetermination and clerical error reopening request form

Review our tutorial and learn how to correctly complete this form to ensure more accurate processing.

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.