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Split or shared E/M guidelines: Medicare Claims Processing Manual updates
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
Limited systems availability Friday, April 3 through Sunday, April 5
There will be Common Working File (CWF) "dark days" Friday, April 3, through Sunday, April 5, affecting the IVR.
Appeal status requests must be obtained through SPOT
To enhance efficiency and ensure the secure handling of appeal information, effective May 1, 2026, all providers will be...
Revision to social determinants of health risk assessment (HCPCS code G0136)
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment...
Provider contact center (PCC) closures
The PCC is closed certain days for training. View the March and April closure days and times.
Restricted codes for claim reopenings
List of codes that cannot be corrected using the reopening process in SPOT.
Prolonged physician services: Hospital inpatient or observation care services
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time...
Cognitive assessment and care plan services
If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly...
IVR Quick Reference Guide: Medicare Provider Part A
This document provides a quick reference for the First Coast Part A provider IVR features.