First Coast’s Virtual Symposium Agenda

Kick off the 2026 Novitas and First Coast Medicare Compliance and beyond Virtual Symposium by attending our introductory session. Meet the outreach and education management team and preview what to expect with this year's symposium events including:

• Explore the latest regulatory Medicare updates and emerging trends
• Gain insight into the best practices and tools to support Medicare compliance, improve claim management, strengthen billing integrity and improve operational efficiency
• Learn firsthand how to proactively avoid common billing and documentation errors

The Virtual Symposium only comes once a year, don't miss out on these important programs!

Follow the Medicare Part A claim journey from claim submission through processing. We will review claim submission options and requirements, claims processing outcomes and the remittance advice. Join us as we explore opportunities to improve claim accuracy, reduce rework, support timely reimbursement, and promote process optimization. 

Follow the Medicare Part B claim journey from claim submission through processing. We will review claim submission options and requirements, claims processing outcomes and the remittance advice. Join us as we explore opportunities to improve claim accuracy, reduce rework, support timely reimbursement, and promote process optimization. 

This event is designed for Part A outpatient facilities and Part B private practice providers who provide physical, occupational and speech language therapy services.This session examines essential topics affecting therapy and rehabilitation services with a focus on coverage, billing and documentation requirements and best practices for supporting compliance. 

Inpatient rehabilitation facility (IRF) compliance requires connected processes, strong documentation practices, and operational solutions supporting reasonable and necessary services. In this session, we will review Medicare IRF coverage requirements, documentation expectations, emerging regulatory updates, and common compliance risk areas. Join us as we explore practical tools and best practices to reduce administrative burden and improve operational performance.

Completion of a Part A institutional claim requires reporting of a variety of information to Medicare reflecting the services provided while the patient was treated in the facility. During this webinar, we will review the use of occurrence codes to report specific events or circumstances as well as revenue codes to indicate the specific hospital department, accommodation, or service category. Join us as we identify the most commonly used occurrence and revenue codes using real-world billing scenarios and outline best practices for utilization.

This session examines National Correct Coding Initiative (NCCI) edits, including procedure-to-procedure (PTP) edits, modifier use, add-on codes (AOCs), and medically unlikely edits (MUEs). We will explore the impact of NCCI edits on claims and appeals and demonstrate strategies for addressing edit-related challenges. Using real-world examples and case scenarios, we will outline approaches to improve claim management, strengthen billing integrity, and support operational efficiency.

Using the Provider Enrollment, Chain, and Ownership System (PECOS) is the most efficient method to enroll Part A facility types in Medicare; however, incomplete and inaccurate application submissions often result in processing delays, administrative rework and reimbursement disruptions. Join us for realistic insights into common, preventable submission errors paired with practical strategies to submit complete, accurate applications the first time.

Join us for a navigation focused demonstration in the Part A Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) system. Using practical billing scenarios, we'll explore how to verify patient eligibility, submit claims, and research claim status. This session is designed to help providers find the information needed to support accurate billing and resolve claim questions efficiently.

Master the complexities of Medicare Part B billing by incorporating the Medicare Physician Fee Schedule (MPFS) into front-end billing research and pre-submission appeals validation activities. Join us as we demonstrate the Medicare Fee Schedule Lookup Tool, define the fields displayed within it and review practical application scenarios to submit clean claims and prevent avoidable appeals.

Explore free electronic tools from Novitas, First Coast, and CMS designed to improve billing efficiency and streamline daily operations. This session covers electronic biller enrollment, electronic options for sending and retrieving electronic data interchange (EDI) files, and key billing resources to help optimize operational workflows.

Patient eligibility screening is the foundation of Medicare compliance, payment integrity, and operational success. Join us as we explore practical tools, eligibility verification strategies, Medicare Secondary Payer (MSP) requirements, and information-sharing solutions that help reduce administrative burden, improve coordination, and prevent costly billing errors. This session will provide real-world insights and best practices to strengthen compliance connections across the patient journey.

Using the Provider Enrollment, Chain, and Ownership System (PECOS) is the most efficient method to enroll Part B providers and suppliers in Medicare; however, incomplete and inaccurate application submissions often result in processing delays, administrative rework and reimbursement disruptions. Join us for realistic insights into common, preventable submission errors paired with practical strategies to submit complete, accurate applications the first time.

Radiology and diagnostic services require a coordinated approach to documentation, coding and billing to support accurate Medicare reimbursement.  This session will review Medicare requirements for radiology services and diagnostic procedures, including billing considerations for professional and technical components, modifiers, place of service, and date of service requirements. We'll examine improper payment and billing errors, highlight common documentation vulnerabilities and identify opportunities for improved compliance, operational efficiency and documentation integrity. 

Medicare secondary payer (MSP) determinations support compliant billing and reimbursement. During this session, we will review Part A MSP scenarios and methods available for determining beneficiary eligibility. We will also highlight new billing guidelines required under Change Request 14553 and best practices for avoiding common claim submission errors.

Medicare secondary payer (MSP) determinations support compliant billing and reimbursement. During this session, we will review MSP scenarios and methods available for determining beneficiary eligibility. We will also identify best practices for avoiding common claim submission errors. 

Healthcare organizations hold some of the most valuable information targeted by cybercriminals, including patient health information, Medicare beneficiary identifiers (MBI), financial data, and provider credentials. A single cybersecurity incident can disrupt patient care, impact operations, and create opportunities for fraud and abuse. Join us as we outline current cyber-related risks to healthcare, responsibilities of providers to support cybersecurity and options available to mitigate and prevent threats and attacks.

SPOT and Novitasphere are our free, secure internet portals available for use by our providers, facilities, billing services, clearinghouses and support staff. Discover how to use Novitasphere and SPOT to simplify Medicare Part A claims, appeals, prior authorization requests, and document submissions, helping improve workflow efficiency, enhance claim management, and reduce administrative burden.

This session will support providers and suppliers providing ground ambulance transportation services. We will review Medicare coverage, billing and documentation requirements and active prior authorization and medical review programs enforcing these guidelines. Join us for best practices, resources and operational solutions intended to support Medicare compliance. 

Stay in step with Medicare requirements for podiatry services by exploring coverage, documentation, and compliance considerations for routine foot care and nail debridement services. Through real-world case studies and practical examples, this session highlights common risk areas, modifier selection considerations, and strategies to strengthen compliance, support operational efficiency, and maintain adherence to Medicare requirements.

This webinar will review Medicare Part A billing requirements related to implantable medical devices, manufacturer credits, and warranty replacements. During this session, we will identify when credits must be reported, review common billing scenarios, outline documentation expectations and highlight compliance considerations when monitoring medical devices. Join us for practical insights and strategies to support Medicare compliance, reduce administrative burden, and enhance operational efficiency.

SPOT and Novitasphere are our free, secure internet portals available for use by our providers, facilities, billing services, clearinghouses and support staff. Discover how to use Novitasphere and SPOT to simplify Medicare Part B claims, appeals, prior authorization requests, and document submissions, helping improve workflow efficiency, enhance claim management, and reduce administrative burden.

This session examines the Medicare National Coverage Determination (NCD) 90.2 for Next Generation Sequencing (NGS) and its role in supporting reasonable and necessary services. We will explore NCD requirements and how to integrate coverage criteria into medical record development and responses to additional documentation requests (ADRs). The webinar will also highlight tools and resources supporting collaboration between clinical, laboratory, coding, billing, and compliance teams. Join us for actionable approaches focused on aligning documentation with NCD requirements and supporting consistent, compliant documentation review outcomes.

Protecting the Medicare trust fund is the responsibility of everyone involved in the Medicare program, including providers and suppliers. Support fraud, waste and abuse prevention by establishing a proactive compliance program focused on improper payment prevention. During this event, we will define the fundamental elements of a successful compliance program, identify options to correct claim errors, and review critical resources for ongoing compliance.

Telehealth remains a vital tool for connecting Medicare patients with reasonable and necessary services. This webinar will review Medicare-approved Part B telehealth services, including eligible provider types, enrollment guidelines, billing and document requirements, and current updates and flexibilities. We will also explore teleradiology requirements and common compliance risks associated with E-visits and virtual check-ins, including billing and documentation challenges. 

Medicare will consider reimbursement for drugs and biologicals that are reasonable and necessary to treat the patient’s condition. Misconceptions regarding coverage requirements and dosage reporting are the top contributors to claim errors. This webinar will address Part A coverage, billing and documentation guidelines, including reporting of units and utilization of JW and JZ modifiers and address common questions such as contractor pricing and unlisted codes. 

This session pulls back the curtain on how national coverage determinations (NCDs) and local coverage determinations (LCD) are developed and maintained, introduce the experts behind the process, and reveal the many ways the medical community can support it. We will also explore tools and resources to identify active and retired coverage policies. Join us to discover more about the transparency in process and inclusiveness of provider input during the policy development process.

Join us for an informational session exploring Medicare Part A and B coverage, billing and documentation requirements for end stage renal disease (ESRD) services. We will review the latest improper payment errors identified by the Comprehensive Error Rate Testing (CERT) program and Targeted Probe and Educate (TPE) reviews and identify resources and practical tools to support error prevention.

Medicare will consider reimbursement for drugs and biologicals that are reasonable and necessary to treat the patient’s condition. Misconceptions regarding coverage requirements and dosage reporting are the top contributors to claim errors. This webinar will address Part B coverage, billing and documentation guidelines, including reporting of units and utilization of JW and JZ modifiers and address common questions such as contractor pricing and unlisted codes. 

Understanding Medicare medical review activities is essential for maintaining compliance and supporting accurate claims submission. This session provides an overview of Medicare medical review programs, including why reviews occur, what documentation may be requested, and how providers can prepare for and respond to review activities with confidence.

Medicare compliance requires all of the puzzle pieces starting with accurate billing that is supported with clear, complete documentation. This interactive session examines incident-to and split or shared guidelines, documentation standards and audit-related risk areas. Join us as we navigate real-world billing examples and common audit findings and explore best practices to support billing and documentation compliance.

Successful management of critical access hospital (CAH) Method II reassignments depends on the ongoing coordination of provider enrollment and billing. Join us as we explore Medicare CAH and reassignment requirements, common errors and practical solutions and resources designed to support Medicare compliance.

Join us as we explore reasonable and necessary coverage guidelines and billing requirements for critical care services, split (or shared) services, concurrent care and family discussions. Using Medicare requirements, we will examine documentation considerations, reporting requirements, and frequently audited elements of critical care services, while highlighting best practices and practical tools to support Medicare compliance. 

Telehealth remains a vital tool for connecting Medicare patients with reasonable and necessary services. This webinar will review Medicare-approved Part A telehealth services, including eligible provider types, billing and document requirements, and current updates and flexibilities. We will identify practical insights and strategies to support Medicare compliance, reduce administrative burden, and enhance operational efficiency.

Purposeful documentation creates interconnectivity with continuity of care and Medicare compliance. This session will focus on the importance of creating accurate and complete patient records to support Medicare coverage, compliant billing and successful responses to additional documentation requests (ADR). We will review common documentation errors with real-world insights and best practices to avoid them.