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Navigation help

December 23, 2025
Discover how to navigate First Coast’s Medicare provider website with ease. This helpful guide offers tips for customizing your experience by filtering the information displayed based on your preferences. You’ll also learn how to change you…

Understanding E/M office or other outpatient services

December 23, 2025
The A/B MACs partnered together to answer practitioners’ top questions related to evaluation and management (E/M) office and other outpatient services (procedure codes 99202-99215) effective on January 1, 2021.

Checklist: Community mental health centers (CMHC) or partial hospitalization program (PHP)

December 23, 2025
This checklist is an aid to assist providers when responding to medical record documentation requests pertaining to community mental health centers (CMHC) or partial hospitalization program (PHP).

MLN Connects for July 31, 2025

December 23, 2025
This edition includes information on the skilled nursing facility revalidation deadline, opioid use disorder services, and more.

Skilled Nursing Facilities (SNFs): Provider enrollment guidelines

December 23, 2025
Read this article for new guidelines for Skilled Nursing Facilities (SNFs). Updated to add extended due date for revalidations.

Medical necessity requirements for skilled nursing facility (SNF) admissions

December 23, 2025
This questionnaire is intended to provide health care providers with a reference for use when screening a new patient for a SNF admission. This criteria is required to meet Medicare guidelines for a SNF covered stay and medical necessity.

How contractors may request assistance with overlapping claims

December 23, 2025
This document outlines instructions -- for Medicare administrative contractors -- regarding how to request assistance from First Coast to resolve an overlapping claim.

Fast facts: Education on CERT error

December 23, 2025
This article provides insights into the educational initiatives implemented following the assessment of a CERT error.

Using the KX modifier for dental services inextricably linked to covered medical services

December 23, 2025
Providers are encouraged to use the KX modifier on 837D claims submitted with dental services inextricably linked to covered medical services. Read this article to learn more.

Determining the correct locality

December 23, 2025
This article will help finding the correct locality fee schedule.
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