Latest Updates

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Hospital outpatient department (OPD) prior authorization exemption process

On August 1, exempt OPDs will receive an additional documentation request (ADR) for a 10-claim post-pay sample on finalized claims with dates of service on or after January 1, through June 30. Review…

First Coast supports compliance awareness during the month of July

Thanks for joining us. As the July Medicare Navigator Foundations of Compliance Workshop wraps up, we hope you found value in the sessions. Although Compliance Awareness month may be ending, view our…

First Coast supports compliance awareness during the month of July

Thanks for joining us. As the July Medicare Navigator Foundations of Compliance Workshop wraps up, we hope you found value in the sessions. Although Compliance Awareness month may be ending, view our…

Collaborative A/B DME oxygen and oxygen equipment webinar coming September 23

Join our A/B DME collaborative contractors for the oxygen and oxygen equipment webinar coming soon.

Collaborative A/B DME oxygen and oxygen equipment webinar coming September 23

Join our A/B DME collaborative contractors for the oxygen and oxygen equipment webinar coming soon.

MLN Connects for July 23, 2026

This edition includes information on the PEPPER relaunch, Medicare beneficiary date of death manual update, enteral nutrition, and more.

What is fraud and abuse?

Learn the difference between fraud and abuse, recognize common warning signs, and understand your role in preventing improper Medicare billing practices. Review this article for more information.

What is fraud and abuse?

Learn the difference between fraud and abuse, recognize common warning signs, and understand your role in preventing improper Medicare billing practices. Review this article for more information.

MLN Connects for July 23, 2026

This edition includes information on the PEPPER relaunch, Medicare beneficiary date of death manual update, enteral nutrition, and more.

Physician billing for procedures performed in an ASC

Physicians and practitioners performing services in Medicare-participating ambulatory surgical centers (ASCs) are reporting an incorrect place of service (POS) code.