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Compliance matters: Third-party vendors, outsourced agencies, and you

December 23, 2025
Third-party vendors have an obligation to maintain Medicare compliance. See this article for detailed requirements.

MLN Connects Special Edition for December 3, 2025

December 23, 2025
View this special edition regarding 2026 Medicare participation and the 2026 home health prospective payment system final rule.

Tips to prevent reject reason code 31997

December 23, 2025
Read this article for tips on how to prevent reject reason code 31997.

2023 payment rates for opioid treatment program (OTP)

December 23, 2025
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2023.

IDM annual certification

December 23, 2025
Approvers may follow these instructions for the required IDM annual certification needed for all SPOT end user access.

New provider roadmap: Electronic data interchange (EDI)

December 23, 2025
Improved cash flow, added security, and reduced administrative costs are just some of the advantages of electronic billing.

PC-ACE training module: Resources

December 23, 2025
The PC-ACE Professional Training Module provides instructions necessary to set up and use the PC-ACE software.

Medicare Part A DDE user guide manual

December 23, 2025
The Medicare Part A DDE user manual has been updated to include changes from the October 2025 release and a new section with tips. October 2025 release details include changes to the inquiry menu. Review the change summary chart at the end…

Health care payment and remittance advice

December 23, 2025
Article includes flow of the remittance advice and links to the claims adjustment reason codes and the remittance advice remark codes.

CERT related educational resources

December 23, 2025
First Coast provides a variety of CERT-related educational resources to assist providers with navigating CERT program requirements and achieving Medicare program compliance. Review our newest releases of the CERT Insider's Guide, Fast facts…
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