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Wrapped

Modified: 4/1/2024
Modified: 4/1/2024
Modified: 12/7/2020
This form is used by Medicare Part A providers who change the default or other contact who receives their interim rate, tentative settlement, NPR & NOC-PR determinations.
Modified: 4/12/2019
Information for MIGS for 04.27.19 CAC.
Modified: 4/12/2019
Information for GI Pathogen Panel for 04.27.19 CAC.
Modified: 3/22/2024
Modified: 1/17/2024
A compliance program can identify, help prevent, and correct inappropriate activities of employees and/or billing companies.
Modified: 1/4/2024
Exiting PC-ACE including backup/restore
Modified: 4/18/2024
Evaluation and Management: Critical Care Services webinar recording
Modified: 4/18/2024
Modifier of the Month: Fundamentals of Global Surgery - Part 2 webinar recording
Modified: 4/18/2024
Modifier of the Month: Fundamentals of Global Surgery - Part 1 webinar recording
Modified: 4/18/2024
E/M Services: Split or shared visits webinar recording
Modified: 4/18/2024
E/M Services: Coding with Modifiers 24 and 25 webinar recording
Modified: 4/18/2024
E/M Services: Emergency Room Visits webinar recording
Modified: 4/18/2024
Care management services webinar recording
Modified: 4/18/2024
Cognitive assessment and care plan services webinar recording
Modified: 4/18/2024
Care management services (Spanish) webinar recording
Modified: 4/18/2024
E/M guidelines for critical care services webinar recording
Modified: 4/18/2024
Inpatient rehabilitation facility documentation requirements (Spanish) webinar recording
Modified: 4/18/2024
Critical Access Hospitals (CAHs): Understanding, designation, billing, and reimbursement webinar recording
Modified: 4/18/2024
Rural Emergency Hospital Guidelines webinar recording
Modified: 4/18/2024
Medicare Coverage for Dental Services webinar recording
Modified: 4/18/2024
Behavioral Health Services webinar recording
Modified: 4/18/2024
Skilled Nursing Facility (SNF): Coordinating Part B billing webinar recording
Modified: 4/18/2024
Documenting skilled nursing facility services correctly webinar recording
Modified: 4/18/2024
Documenting inpatient rehabilitation facility admissions webinar recording
Modified: 4/18/2024
End stage renal disease (ESRD) coverage, documentation and billing requirements (Spanish) webinar recording
Modified: 4/18/2024
Laboratory services-Coverage (Spanish) webinar recording
Modified: 4/18/2024
Revised Medicare Enrollment Application – Physicians and Non-Physician Practitioners webinar recording
Modified: 4/18/2024
SPOT New User Interface (Spanish) webinar recording
Modified: 4/18/2024
SPOT New User Interface webinar recording
Modified: 4/18/2024
SPOT Registration Process (Spanish) webinar recording
Modified: 4/18/2024
SPOT Registration Process webinar recording
Modified: 4/18/2024
SPOT Series: PC-ACE and Claim Submissions using Our SPOT Portal webinar recording
Modified: 4/18/2024
StayConnected: Enrolling in Electronic Billing webinar recording
Modified: 4/18/2024
Update - Prior authorization for repetitive, scheduled non-emergent ambulance transport (RSNAT) (Spanish) webinar recording
Modified: 4/18/2024
Update - Prior authorization for repetitive, scheduled non-emergent ambulance transport (RSNAT) webinar recording
Modified: 4/18/2024
Prior authorization: new service added effective July 1 – facet joint interventions (Spanish) webinar recording
Modified: 4/18/2024
Prior authorization: new service to be added effective July 1 – facet joint interventions webinar recording
Modified: 4/17/2024
Preventive Services at a Glance webinar recording
Modified: 4/17/2024
Preventive services: Preventing tobacco use and providing lung cancer screenings (Spanish) webinar recording
Modified: 4/17/2024
Preventive Services: Preventing Tobacco Use and Providing Lung Cancer Screenings webinar recording
Modified: 4/17/2024
Preventive services: Screening Mammograms webinar recording
Modified: 4/17/2024
Self-Service Tools and You: Navigating the Part A First Coast Website webinar recording
Modified: 4/17/2024
StayConnected: How to Utilize the FastTrack to Medicare Coverage Policies Tool webinar recording
Modified: 4/17/2024
Immunizations: Protect your patients against influenza and pneumonia webinar recording
Modified: 4/9/2024
Transcript
Modified: 4/9/2024
Audio recording for the October 7 CAC meeting.
Modified: 4/5/2024
Agenda, background materials, and audio recording for the November 14 open public meeting.
Modified: 4/4/2024
Agenda, background materials, and audio recording for the October 27 open meeting.
Modified: 4/4/2024
View the transcript for the October 7 CAC meeting.
Modified: 4/4/2024
Audio recording for the February 28, 2023, multi-jurisdictional CAC meeting.
Modified: 4/2/2024
Agenda, background materials, and audio recording for the August 25 open meeting.
Modified: 3/29/2024
Transcript for the February 28, 2023 MJ CAC meeting,
Modified: 3/11/2024
Agenda, background materials, and audio recording for the February 29 open meeting.
Modified: 1/24/2024
Agenda, background materials, and audio recording for the June 24 open meeting.
Modified: 1/19/2024
Transcript
Modified: 1/19/2024
Agenda, background materials, and audio recording for the June 23 open meeting.
Modified: 1/19/2024
Agenda, background materials, and audio recording for the October 12 open meeting.
Modified: 1/4/2024
Electronic reports
Modified: 8/28/2023
Agenda, background materials, and audio recording for the August 10 open meeting.
Modified: 8/28/2023
Agenda, background materials, and audio recording for the August 17 open meeting.
Modified: 8/26/2023
Agenda, background materials, and audio recording for the August 12, 2021, open meeting.
Modified: 8/24/2023
Agenda, background materials, and audio recording for the April 28 open meeting.
Modified: 7/12/2023
Agenda, background materials, and audio recording for the June 15 open meeting.
Modified: 7/7/2023
audio recording for the October 6 CAC meeting.
Modified: 7/7/2023
October 6, 2022, CAC Transcript.
Modified: 3/12/2021
February 11 MJ CAC SME Survey Responses.
Modified: 3/12/2021
SME voting question results for the MJ CAC February 11 meeting.
Modified: 3/11/2021
Transcript for the February 11, 2021 MJ CAC meeting,
Modified: 3/11/2021
Audio recording for the February 11, 2021, multi-jurisdictional CAC meeting.
Modified: 2/15/2021
Agenda, background materials, and audio recording for the January 28 open meeting.
Modified: 1/14/2021
Agenda for the January 28 open meeting.
Modified: 1/9/2021
Agenda, background materials, and audio recording for the July 9 open meeting.
Modified: 12/2/2020
Agenda, background materials, and audio recording for the November 12 open meeting.
Modified: 11/17/2020
transcript for the June 13 CAC meeting.
Modified: 11/17/2020
transcript for the June 13 CAC meeting.
Modified: 11/17/2020
audio recording for the June 13 CAC meeting.
Modified: 11/17/2020
Audio recording for the June 13 CAC meeting.
Modified: 11/17/2020
Audio
Modified: 11/17/2020
Audio
Modified: 11/17/2020
Read a transcript of the CAC meeting held March 20, 2019, pertaining to vertebral augmentation.
Modified: 11/17/2020
Listen to (in mp3 format) a transcript of the CAC meeting held March 20, 2019, pertaining to vertebral augmentation.
Modified: 11/12/2020
Agenda, background materials, and audio recording for the May 13 open meeting.
Modified: 10/21/2020
Transcript and audio recording from the October 8 open meeting.
Modified: 9/24/2020
Transcript and audio recording for the September 10 open meeting.
Modified: 7/23/2020
PowerPoints and attendees lists
Modified: 1/30/2020
Agenda, background materials, and audio recording for the January 9 open public meeting.
Modified: 9/26/2019
Agenda, background materials, and audio recording for the September 12 open public meeting.
Modified: 4/12/2019
Background materials for the April 27, 2019, Contractor Advisory Committee meeting.
Modified: 1/4/2024
Connect to First Coast
Modified: 1/4/2024
Prepare/Reactivate claims for transmission
Modified: 1/4/2024
Claim list management
Modified: 1/4/2024
Flu, pneumonia, COVID-19, or monoclonal antibody (mAb) infusion injection roster billing
Modified: 1/4/2024
Importing claims into PC-ACE from another software
Modified: 1/4/2024
Enter a Medicare Secondary Claim
Modified: 1/9/2024
Claim Entry
Modified: 1/4/2024
PC-ACE configuration
Modified: 4/18/2024
Modified: 4/17/2024
Resources and contacts for the PE gateway.
Modified: 4/16/2024
Read this article for instructions on how to enroll in Medicare as a physician.
Modified: 4/12/2024
Modified: 4/12/2024
Cost outlier flowchart to assist with coding claims.
Modified: 4/12/2024
Cost outlier claims timeline example
Modified: 4/12/2024
Cost outlier claims timeline example
Modified: 4/12/2024
Cost outlier claims timeline example
Modified: 4/12/2024
Cost outlier claims timeline example
Modified: 4/11/2024
Modified: 4/11/2024
Read this article for more information on how to get credentialed for Medicare as an Anesthesiologist assistant
Modified: 4/11/2024
Read this article for information on enrolling in Medicare as a registered dietician
Modified: 4/10/2024
Read this article if you are interested in becoming a registered CRNA with Medicare
Modified: 4/10/2024
Read this articles for instructions on enrolling in Medicare as a Physical Therapist
Modified: 4/10/2024
Read this article if you are a Clinical nurse specialist looking to enroll in Medicare
Modified: 4/10/2024
Read this article for information on enrolling in Medicare as a Nurse Practitioner.
Modified: 4/10/2024
Read this article if you are an Occupational Therapist interested in enrolling with Medicare
Modified: 4/10/2024
Modified: 4/9/2024
Modified: 4/7/2024
Complete review of the eligibility feature in SPOT.
Modified: 4/5/2024
The CAC is used to supplement the MAC’s internal expertise and to ensure an unbiased and contemporary consideration of “state of the art” technology and science. Please read this fact sheet for more details.
Modified: 4/4/2024
A flowchart of the process for considering if a New Local Coverage Determination (LCD) should be developed to limit coverage.
Modified: 4/4/2024
Access the meeting agenda, PowerPoint presentation, and audio recording from the July 11, 2019, open public meeting.
Modified: 4/4/2024
Modified: 4/3/2024
Modified: 4/3/2024
Modified: 4/3/2024
Read this article if you are a roster biller for mass immunizations or interested in becoming one.
Modified: 4/2/2024
The purpose of the open meeting is to allow interested parties the opportunity to make presentations of information and offer comments related to proposed local coverage determinations (LCDs) and/or the revised portion of a proposed LCD that are in the 45-day open comment period. See this page for more details.
Modified: 4/1/2024
Modified: 4/1/2024
Modified: 3/29/2024
A flowchart of the process for considering if a Local Coverage Determination (LCD) should be revised.
Modified: 3/21/2024
CMS recently changed their address for appealing opt-out decisions and CAP/reconsiderations. Read this article to find the new address.
Modified: 3/21/2024
Here are additional educational resources identified specifically for cardiology services.
Modified: 3/21/2024
Modified: 3/20/2024
Modified: 3/20/2024
Modified: 3/20/2024
Once enrolled as a Medicare provider, a billing method with Medicare needs to be established.
Modified: 3/15/2024
Information pertaining to Optum Insight/ Change Healthcare cyber incident.
Modified: 3/9/2024
Information pertaining to Change Healthcare/Optum Payment Disruption (CHOPD) accelerated payments to Part A providers and advance payments to Part B suppliers.
Modified: 3/8/2024
Read this article for information on this new Medicare-approved specialty.
Modified: 3/8/2024
A chart providing guidance on the strength of medical literature that may be submitted for consideration (Local Coverage Determination (LCD) reconsideration, new LCD request, or with a proposed LCD comment).
Modified: 3/7/2024
Read this article for information on this new Medicare-approved specialty.
Modified: 3/6/2024
Complete review of the Retrieve Documents feature in SPOT.
Modified: 3/5/2024
Instructions on how to access the SPOT.
Modified: 3/3/2024
A flowchart of the process for local coverage determination (LCD) development.
Modified: 3/1/2024
Here are additional educational resources identified specifically for hospice and home health care.
Modified: 2/27/2024
Information pertaining to inpatient and outpatient hospital resources.
Modified: 2/27/2024
Summary for outpatient rehabilitation services (January through August 2021)
Modified: 2/27/2024
Summary for outpatient rehabilitation services (December 2020).
Modified: 2/27/2024
Summary for Clinical Laboratory Lipid Panel (June and July 2021).
Modified: 2/27/2024
Summary for Clinical Labs (November 2020).
Modified: 2/27/2024
Summary for drugs and biologicals (April-May 2021).
Modified: 2/27/2024
Summary for psychotherapy services (December 2020 - March 2021).
Modified: 2/27/2024
Summary for ambulance services (October 2020).
Modified: 2/27/2024
Summary for hyperbaric oxygen therapy (October 2020).
Modified: 2/27/2024
Summary for outpatient rehabilitation services (August - November 2020 and August 2021).
Modified: 2/26/2024
Modified: 2/26/2024
Modified: 2/22/2024
Use this form to opt into claim submission through SPOT.
Modified: 2/21/2024
Complete review of the Submit Documents feature in SPOT.
Modified: 2/21/2024
Modified: 2/18/2024
Here are additional educational resources identified specifically for oncology services.
Modified: 2/18/2024
Here are additional educational resources identified specifically for rural health services.
Modified: 2/17/2024
Terms and conditions agreement to submit claims electronically through SPOT.
Modified: 2/16/2024
Summary for outpatient rehabilitation services (August - November 2020).
Modified: 2/15/2024
JN Medicare Open Meeting agenda providing the meeting date, time, location, and Local Coverage Determination (LCD) topics for discussion.
Modified: 2/14/2024
Reviews the resources available in SPOT including self-service tools, references, and educational events.
Modified: 2/14/2024
A procedure can have other policies or guidelines besides an LCD. Search our website for additional information.
Modified: 2/13/2024
A procedure can have other policies or guidelines besides an LCD or NCD. The CMS website has a wealth of information. Read this article for more information.
Modified: 2/13/2024
In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.
Modified: 2/13/2024
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered) under §1862(a)(1) of the Social Security Act or other applicable provisions of the Act Read this article for more information.
Modified: 2/13/2024
Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions. There are two ways to view LCDs, either by viewing the list of all active LCDs and articles on the medical policy/LCDs center or by performing a policy search. Read this article for more information.
Modified: 2/8/2024
Modified: 2/8/2024
Complete review of the Claim Submission / ERA feature in SPOT.
Modified: 2/1/2024
Here are additional educational resources identified specifically for chiropractic services.
Modified: 1/31/2024
View this table of request types and tips for the Claim Reopening Gateway, as well as limitations.
Modified: 1/30/2024
View a hierarchy of critical resources to determine if a Medicare policy exists, and if not, what to do next.
Modified: 1/29/2024
Using the PE gateway
Modified: 1/29/2024
PE Gateway FAQs
Modified: 1/29/2024
Introduction to the PE gateway.
Modified: 1/29/2024
Getting started in the PE gateway.
Modified: 1/29/2024
Complete review of the Appeals feature in SPOT.
Modified: 1/29/2024
Read this file for information regarding enrolling in Medicare as an audiologist.
Modified: 1/29/2024
Modified: 1/22/2024
Attention Medicare beneficiaries: Preventing and treating COPD at little or no cost to you.
Modified: 1/8/2024
View these additional FAQs about clinical trials and device coverage.
Modified: 1/5/2024
Complete review of the MBI Lookup feature in SPOT.
Modified: 1/4/2024
Simplified steps to setup and use the free PC-ACE software program.
Modified: 12/4/2023
Complete review of the Claims feature in SPOT.
Modified: 11/28/2023
Introduction to the SPOT
Modified: 11/28/2023
Reviews error scenarios that may be encountered using SPOT and provides resolutions steps.
Modified: 11/27/2023
Provides information on different support options available for the SPOT.
Modified: 11/27/2023
Complete review of the Financial Information feature in SPOT.
Modified: 11/15/2023
Modified: 10/20/2023
Use this decision flowchart to assist in correctly applying the 24 modifier
Modified: 10/20/2023
Use this decision flowchart to assist in correctly applying the 25 modifier
Modified: 10/19/2023
This form is used by a billing service or clearinghouse to setup previously enrolled provides for SPOT.
Modified: 10/6/2023
Find the appropriate forms to appeal claim decisions.
Modified: 9/2/2023
Help document about the criteria for the EDI Gateway login ID
Modified: 9/2/2023
Help document about the EDI Gateway login ID and resetting password
Modified: 7/27/2023
Submitting complete information for an overpayment request is important for accurate processing. This article provides reminders for submitting overpayment requests to First Coast.
Modified: 7/20/2023
Modified: 2/3/2023
Use this form to request assistance from First Coast to resolve an overlapping claim.
Modified: 12/15/2022
Here are additional educational resources identified specifically for rehabilitation services.
Modified: 12/7/2022
Modified: 4/24/2022
Find information on local and national coverage determinations specific to preventive services.
Modified: 4/5/2022
Information pertaining to Part A hospitals -- Centers for Medicare & Medicaid Services (CMS) internet-only manuals (IOMs).
Modified: 3/16/2022
Modified: 10/19/2021
Modified: 10/8/2021
Modified: 9/2/2021
View this article on billing for the drug Romidepsin for dates of service on or after July 1.
Modified: 7/28/2021
Follow-ups from our June 9-10, 2021 E/M Virtual Conference 2021 classes.
Modified: 5/6/2021
View these guidelines regarding what it means for a service to be "reasonable and necessary."
Modified: 3/16/2021
Here are additional educational resources identified specifically for ASC services.
Modified: 3/12/2021
Modified: 3/10/2021
The Centers for Medicare & Medicaid Services (CMS) has a standardized provider-based designation checklist.
Modified: 3/9/2021
Here is a list of some of the key points for each section of the provider-based designation attestation.
Modified: 3/8/2021
Modified: 2/17/2021
Modified: 2/11/2021
Use this decision flowchart to assist in correctly applying the 57 modifier
Modified: 2/11/2021
Use this decision flowchart to assist in correctly applying the 58 modifier
Modified: 2/11/2021
Use this decision flowchart to assist in correctly applying the 59 modifier
Modified: 2/11/2021
Use this decision flowchart to assist in correctly applying the 78 modifier
Modified: 2/11/2021
Use this decision flowchart to assist in correctly applying the 79 modifier
Modified: 11/26/2020
What providers can and cannot get from chat and chat FAQs.
Modified: 11/17/2020
Joining First Coast eNews error
Modified: 11/13/2020
Modified: 11/13/2020
First Coast eNews registration confirmation
Modified: 11/4/2020
Find the revised rates for opioid treatment programs here.
Modified: 10/2/2020
A revised fact sheet is now available on the Centers for Medicare & Medicaid Services (CMS) website.
Modified: 9/28/2020
Modified: 3/5/2020
Targeted probe and educate topics table [CR 10249]
Modified: 12/17/2019
Please access this recording for the Opioid Treatment Programs teleconference from December 16, 2019.
Modified: 1/8/2016
These payment amounts are effective for service dates January 1-December 31, 2016. [CR 9495]
Modified: 1/8/2016
These payment amounts are effective for service dates January 1-December 31, 2016. [CR 9495]
Modified: 1/8/2016
These payment amounts are effective for service dates January 1-December 31, 2016. [CR 9495]
Modified: 1/8/2016
These payment amounts are effective for service dates January 1-December 31, 2016. [CR 9495]
Modified: 1/8/2016
These payment amounts are effective for service dates January 1-December 31, 2016. [CR 9495]
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.