Inpatient psychiatric facility (IPF) benefits exhaust
Inpatient psychiatric facility (IPF) benefits exhaust occurs when no benefit days remain in the beneficiary's applicable benefit...
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Roster billing for Part A
Institutional providers can use roster billing when administering the influenza, pneumococcal, or COVID-19 vaccines, or...
Physician billing for procedures performed in an ASC
Physicians and practitioners performing services in Medicare-participating ambulatory surgical centers (ASCs) are reporting an...
Process for CPT category III T codes
Review the revised listing of CPT category III T codes that require documentation to avoid negative impacts to your claims.
Process for pathology, laboratory, and other codes
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims...
Hospital off-campus outpatient department reporting requirements
Effective July 6, 2026, outpatient claims with type of bills (TOB) 13X or 14X will be returned to provider (RTP) for reason code...
Understanding radiopharmaceutical fee schedule amounts and billing expectations
Read this clarification regarding how radiopharmaceutical payment limits should be interpreted and how providers are expected to...
First Coast supports Part B billing awareness during the month of June
Keep the momentum going -- navigate Part B post-payment claim scenarios! Attend the Medicare Navigator Part B Billing series and...
New global surgery calculator
Counting 10- or 90-day global periods manually? Our new global surgery calculator quickly determines the global period end date...
First Coast bank transition: Deposit paper checks timely
Effective April 27, 2026, First Coast will be changing banks from Citibank to JP Morgan Chase.