Sep 25, 2014 | Medical billing basics
How you can expedite your enrollment application process As the Medicare administrative contractor (MAC) for jurisdiction N (JN), First Coast Service Options Inc. (First Coast) is not only responsible for processing Medicare claims but also for processing enrollment...
Sep 19, 2014 | Medical billing basics
The Medicare Program The Original Medicare Program, also known as Fee-For-Service (FFS) Medicare, consists of: • Part A, hospital insurance; and • Part B, medical insurance. Under FFS Medicare, eligible individuals may enroll in Part A, Part B, or both Part A and Part...
Sep 4, 2014 | Medical billing basics
Payment ceilings were implemented for clean claims received by the carrier or FI on or after April 1, 1987. “Clean” claims must be paid or denied within the applicable number of days from their receipt date as follows: Time Period for Claims Received Applicable...
Aug 21, 2014 | Medical billing basics
An internal system processing issue has caused some surgical procedure codes billed with modifier 22 processed on/after January 1, 2014, to not allow any additional money above the fee schedule. First Coast Service Options (First Coast) is currently identifying the...
Aug 4, 2014 | Medical billing basics
The receipt date of a claim is the date the contractor receives the claim (provided the filing is in a format and contains data sufficiently complete so that the filing qualifies as a claim). The receipt date is used to: determine if the claim was timely filed ,...
Jul 21, 2014 | Medical billing basics
An internal system processing issue has caused some surgical procedure codes billed with modifier 22 processed on/after January 1, 2014, to not allow any additional money above the fee schedule. First Coast Service Options (First Coast) is currently...
Jul 9, 2014 | Medical billing basics
Medicaid claims that are secondary to insurance or Medicare coverage, including Medicare HMOs, may be billed electronically either through electronic vendors or through Molina’s web portal....
Jun 25, 2014 | Medical billing basics
ALL CMS PUP patient would be moved Medicare from June 1. We could submit the claim to Medicare and get paid See the below notice form PUP.
May 28, 2014 | Medical billing basics
Look to the AMA and website resources for updates. The HIPAA Privacy, Security and Breach Notification rules continue to be revised, and technological change continues to impact the application of those rules. Physician practices must ensure they stay on top of...
May 24, 2014 | Medical billing basics
HIPAA is the acronym for the Health Insurance Portability and Accountability Act. Although HIPAA covers many things, physicians typically are most concerned with HIPAA’s Administrative Simplification provisions, and particularly the Privacy, Security and Breach...
