Claims
Beneficiary-submitted claim filing instructions
This article provides beneficiary guidelines for submitting claims rendered in Florida, U.S. Virgin Islands, or Puerto Rico.
Tips on how to avoid billing a duplicate claim
Duplicate claim denials continue to be one of the top billing errors. Duplicate submission of Medicare claims causes an increase in cost, valuable time, and resources for you, as well as First Coast…
Appropriate drug billing Part B
Read this article to learn more about appropriately billing Part B drugs.
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…
Drugs and biologicals Part A: 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…
Appropriate use of not otherwise classified codes when billing drugs and biologicals
Correct coding requires the most specific code available describing a service to be reported. Not otherwise classified (NOC) codes must only be used when a more specific HCPCS or CPT code is not…
Appropriate drug billing Part A
Read this article to learn more about appropriately billing Part A drugs.
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…
Mammography coverage and certification of mammography facilities
Read this article for information on mammography coverage and certification of mammography facilities.
Understanding the credit balance report
Review the following questions and answers to gain an understanding of credit balance reporting.