Modifier 53 fact sheet
To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly...
Improve your billing of hospital inpatient or observation discharge day management codes
Effective January 1, 2023, changes were made to hospital inpatient or observation discharge day management codes. Review this...
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.
Correct reporting of MSP type on electronic claims
This article contains important information about a revision being made to Medicare secondary payer (MSP) claim editing.
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...
Reminder on mandatory Medicare claim submission requirements
Read this important article to learn about compliance with the mandatory Medicare claim submission requirements.
Modifier 73 fact sheet
Use modifier 73 to report discontinued outpatient or hospital ambulatory surgical center (ASC) procedure prior to the...
New coversheet for hardcopy UB-04 submissions
This article describes First Coast’s new coversheet for hardcopy UB-04 form submissions.
Modifier 52 fact sheet
Effective August 31, 2023, documentation is required for claims submitted with modifier 52. To avoid claim rejects and future...
Postoperative co-management -- modifiers 54 and 55
When physicians transfer the care of the patient during the global care period, the use of a modifier will be necessary to...