Part B billing, payment methodology and documentation requirements for non-sheet skin substitute products
This article outlines billing, payment methodology, and documentation requirements for non-sheet skin substitute products. It...
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MLN Connects for September 3, 2026
This edition includes information on DMEPOS benefit category determinations, the MPFS database October update, the NCCI October...
SPOT claim features
Learn about the SPOT claim features, including claim status, claim summary, medical review claims, and provider data summary.
Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)
View TPE round results for psychotherapy services.
Mandatory self-service clerical error reopening requests
Effective October 1 for all JN providers, Part B clerical error reopening (CERs) requests must be submitted using the SPOT...
Provider contact center (PCC) closures
The PCC is closed certain days for training. View the upcoming closure days and times.
First Coast supports provider enrollment awareness during the month of August
If you missed the live August webinars regarding completion of Provider Enrollment paper and electronic applications, you can...
Cruising through the CERT claim review process
The Comprehensive Error Rate Testing (CERT) program monitors and reports the accuracy of Medicare fee-for-service (FFS) payments...
MLN Connects for August 27, 2026
This edition includes information on dermatologists billing for E/M services and minor surgical procedures, 2027 hospice...
Anatomical modifiers
Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require that...