Differences between fee schedule file types
This article explains the differences between the First Coast Part B fee schedule lookup, PDF files, and zipped text files.
PC-ACE User Guide: Section 5 - Flu, pneumonia, COVID-19, hepatitis B, or monoclonal antibody (mAb) infusion injection roster billing
Roster billing is available for Part B providers that bill for influenza, pneumonia, COVID-19, hepatitis B, and Monoclonal...
Inpatient admitted prior to entitlement
There are special billing guidelines to follow when the beneficiary becomes entitled to Part A benefits in the middle of an...
Inpatient hospital entitlement changes
When a patient enrolls in or disenrolls from a Medicare Advantage plan during his/her inpatient stay, the following factors will...
PC-ACE User Guide: Section 4 – Importing claims into PC-ACE from another software
Claims are introduced into PC-ACE by either entering them manually or by importing them from an external source. The claim...
Finding fee schedule policy indicators
How to find policy indicators such as gloabl days for a service, relative value units (RVUs) for a particular code, and more.
Fee schedule par, nonpar, and limiting charge explanation
Definitions of par fee, nonpar fee, and limiting charge in the Medicare Physician Fee Schedule.
PC-ACE User Guide: Section 3 - Enter a Medicare secondary claim
The following instructions are for entering a claim with Medicare as the secondary payer. For more information on billing...
PC-ACE User Guide: Section 2 - Claim entry
More information on claim entry, including screen shots of the software, is available in the PC-ACE Institutional Training...