Claims

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How to avoid rejects of Medicare and Medicaid crossover claims

Learn how to avoid rejects of crossover claims by ensuring the addresses you have on file with Medicare and Medicaid match and are in the appropriate format.

Drugs and biologicals Part B: Using the JW and JZ modifiers

The JW and JZ modifier policy applies to all drugs separately payable under Medicare Part B described as supplied in a “single-dose” containers. Read this article to understand how these modifiers…

Mammography coverage and certification of mammography facilities

Read this article for information on mammography coverage and certification of mammography facilities.

What to do when you can't locate your claim

Would you like to reduce the time you spend contacting Medicare? Having difficulties locating a claim? Here's some tips to help locate a claim not on file.

Appropriate drug billing Part A

Read this article to learn more about appropriately billing Part A drugs.

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.

Avoid negative impacts to your claims: Review policies on genetic testing for cardiovascular disease

View this important information you must know if you bill for genetic testing for cardiovascular disease, effective January 30.

New coversheet for hardcopy UB-04 submissions

This article describes First Coast’s new coversheet for hardcopy UB-04 form submissions.

Coding guidelines: Part A inpatient billing for malnutrition diagnosis codes

Read this article for diagnosis coding guidelines on correctly billing malnutrition claims.