New enrollment
Use the links on the left to view the steps to become a Medicare provider. This section offers links to guide providers through...
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Submit medical review documentation electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your...
Availability of the list of essential medicines considered to be in shortage for the purposes of the recently finalized separate IPPS payment for establishing and maintaining access to essential medicines
In the fiscal year 2025 IPPS and LTCH final rule, CMS finalized a separate payment for establishing and maintaining access to...
View LCDs
Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions...
Responding to additional documentation requests (ADRs)
This article explains how to respond to ADRs.
Avoid the wait: submit electronically
Are you sending hardcopy mail to submit your requests to First Coast? Avoid the wait. There are faster and easier ways to send...
Targeted probe and educate (TPE) round results: Drugs and biologicals (HCPCS J0897)
View targeted probe and educate (TPE) results - drugs and biologicals (HCPCS J0897).
Checklist: Diagnostic-Related Group (DRG) Validation
This checklist is intended to provide health care providers with a reference to use when responding to medical documentation...
Annual wellness visits (AWVs)
Medicare Part B covers annual wellness visits (AWVs) and other related services for qualifying beneficiaries. Learn more about...
Counting units for therapy codes
Read this article to learn how to count units to properly bill therapy HCPCS codes.