Billing & coding
Find the latest news pertaining to Medicare billing, coding, and general coverage changes. Access this page to view deductible...
Targeted probe and educate (TPE) round results: Evaluation and management services – initial inpatient care visits and subsequent inpatient care visits
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient...
Fast facts: Responding to CERT additional documentation requests
Read this article for information about responding to CERT documentation requests.
Appeals
Find information regarding the appeals process -- levels, forms, FAQs, and how to appeal Medicare coverage and payment decisions...
Type of Service indicators (TOS)
The place of service or diagnosis may be considered when determining the appropriate TOS. The descriptors for each of the TOS...
Documentation requirements to support medical necessity for Inpatient Rehabilitation Facility (IRF) stay
First Coast has compiled a list of questions on specific topics that are listed in the CMS IRF RCD Medical Records Review...
Update history: LCD and article updates
View the most recent updates for our LCDs and articles.
Enrollment status tool: Help guide
Use this help guide for the enrollment application status tool. This versatile application allows you to check the status of...
5010 reject code lookup: Help guide
Learn how to use First Coast’s 5010 reject code lookup to resolve data-based issues with your 5010 claim files more quickly.