The Centers for Medicare & Medicaid Services (CMS) provided guidance in the April 7, 2020, Dear Clinician letter for using diagnosis codes Z03.818, Z20.828, and Z11.59 when reporting encounters related to possible COVID-19 exposure. First Coast Service Options, Inc. (First Coast) was erroneously denying claims as preventive/screening services when submitted with diagnosis codes Z03.818 and Z11.59.
Effective for claims processed on or after July 17, 2020, for dates of service on or after January 27, 2020, First Coast will no longer deny claims when submitted with diagnosis codes Z03.818 and Z11.59, as long as all other coverage requirements are met for claims processing.
Beginning July 17, 2020, for dates of service on or after January 27, 2020, claims will no longer be denied when billed with diagnosis codes Z03.818 and Z11.59.
Also, no provider action is needed. Because First Coast will adjust impacted claims.
Current processing issues
Here is a link to a table of current processing issues for both Part A and Part B.
Medical billing services that maximize profit and cash flow
We understand that your practice needs a swift, reliable revenue stream in order to thrive. And, we know that it takes more than a slick software package to make it happen. Definitely, It takes the right people. Therefore, we have created unique medical billing services to make your life easier. It is backed by our experience serving physicians since 1995.
We make sure our clients are supported by a billing and collections team carefully chosen for their industry expertise and dedication to customer service. In addition, your PRM team takes full responsibility for the financial health of your practice. If you don’t get paid, we don’t get paid. As a result, this performance-based model keeps our operations lean and focused, and help us achieve one of the highest collection rates in the billing industry.
Finally, when you know the right people are handling your revenue cycle, you can relax and focus on what you do best- delivering excellent medical care.
PRM is here to help make life easier for you and your office staff. Join our medical billing company today and enjoy our benefits! Contact Us
Professional Reimbursement Managers