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Prolonged physician services: Office and other outpatient visits

March 3, 2026
Learn more about billing Medicare for prolonged office and other outpatient E/M services that exceed the maximum time by at least 15 minutes on the date of service.

Limitation on recoupment (935) process

May 13, 2026
This information outlines the process for the 935 recoupment.

Application fee information

February 17, 2026
Access this website to determine if you are required to pay the provider enrollment application fee and use the website to pay the fee.

Avoid the wait: submit electronically

February 18, 2026
Are you sending hardcopy mail to submit your requests to First Coast? Avoid the wait. There are faster and easier ways to send your requests to us. Learn about the electronic options available for you.

Reject reason code for Part A claims returned to a provider more than three times

April 7, 2026
First Coast rejects claims returned to a provider more than three times with reason code 70RTP. Read this article to learn more about this reason code.

Billing Mpox vaccine and laboratory codes

February 18, 2026
This article will assist providers with proper billing relating to the Mpox vaccine and laboratory codes. This article was updated September 6 to advise providers to include the product code on claims.

Drugs and biologicals

April 28, 2026
View this page to easily locate information related to drugs and biologicals, such as billing and coding guidelines, related policy information, IOMs, and resources.

Physician supervision of diagnostic tests

February 25, 2026
The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the supervision of an individual meeting the…

Complying with medical record documentation requirements

March 25, 2026
First Coast encourages providers to review this fact sheet designed to help providers understand how to provide accurate and supportive medical record documentation.

Collaborative patient care is a provider partnership

March 25, 2026
Understanding applicable Medicare coverage criteria for medical necessity and documentation guidelines for healthcare services is extremely important for the accurate and timely processing and payment of claims. Partnering with Medicare can…
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