Billing

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Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the billing…

Medicare Diabetes Prevention Program (MDPP) changes for calendar year 2026

Read this article for important changes and revisions to the MDPP program for calendar year 2026.

Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease

Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease. Please review this article and pay close attention to the billing…

Pre-exposure prophylaxis (PrEP) using antiretroviral drugs to prevent human immunodeficiency virus (HIV) infection

Read this article for information on billing PrEP for HIV drugs.

Billing for vein ablation services? Access our LCD guidelines

Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to…

Billing for vein ablation services? Access our LCD guidelines

Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to…

Billing instructions for implanted prosthetic devices with HCPCS code C9899: Reason code 32354

To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.

Medicare & Veteran Affairs: Adjustments for duplicate claims

CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…

Medicare & Veteran Affairs: Adjustments for duplicate claims

CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…

Dental services coverage

If you’re a new or seasoned provider billing dental services to fee-for-service (FFS) Medicare, or original Medicare, this article guides you through recently clarified payment provisions for dental…