Claim submission guidelines
Proper reporting of condition code G0
Hospitals should report condition code G0 (zero) on Part A claims when multiple medical evaluation and management (E/M) visits occur on the same day in the same revenue center, but the visits were…
Coding guidelines: Part A inpatient billing for malnutrition diagnosis codes
Read this article for diagnosis coding guidelines on correctly billing malnutrition claims.
Reminder on mandatory Medicare claim submission requirements
Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.
YouTube video: Avoid Medicare claim rejects that should be submitted to a Medicare Advantage plan
Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.
Avoid rejection of paper claims
First Coast made changes to how we handle paper claims marked for "other insurance". Review this article to avoid claim rejections of this kind.
New coversheet for hardcopy UB-04 submissions
This article describes First Coast’s new coversheet for hardcopy UB-04 form submissions.
YouTube video: Avoid Medicare claim rejects that should be submitted to a Medicare Advantage plan
Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.
When not to show patient paid amounts on claims
First Coast has been made aware of complaints by beneficiaries being required to pay for services up front. This article explains what may occur when indicating a patient payment amount on a claim…
CMS-1500 (02/12) data element requirements
This document discusses the conditions and requirements of the Item fields within the revised CMS-1500 (02/12) paper claim form and the electronic equivalent elements.
Important instructions for paper claim form CMS-1500 (version 02/12)
First Coast has noticed an increase in errors on the CMS-1500 (02/12) claim form. This article addresses important instructions regarding completion of the paper claim form.